Individual provider · Type 1 NPI
Gloria Lanise Dickinson
Psychiatric/Mental Health Nurse Practitioner · Albany, NY
NPI number
1639081508
Active
Practice location
315 S Manning Blvd
Albany, NY 12208-1707
Mailing address
550 St Davids Ln
Niskayuna, NY 12309-4912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | F409162-01 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1639081508
Gloria Lanise Dickinson's National Provider Identifier is 1639081508, issued on Sep 17, 2026. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Albany, NY. The record was last updated on Sep 17, 2026.