Individual provider · Type 1 NPI

Nicholas Mario Dilullo, PA-C

Physician Assistant · Minneapolis, MN

NPI number 1699120014 Active

Practice location

2925 Chicago Ave
Minneapolis, MN 55407-1321

Call (612) 262-7800 Map

Fax (612) 262-7022

Other practice locations

  • 55 Fruit St, Boston, MA 02114-2621 · (617) 724-3874
  • 800 Washington St, Box 5931, Boston, MA 02111-1552 · (617) 636-5000

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA5714 (MA)
Physician Assistant Primary 363A00000X15440 (MN)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1699120014

Nicholas Mario Dilullo, PA-C's National Provider Identifier is 1699120014, issued on May 4, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Minneapolis, MN. The record was last updated on Nov 20, 2025.