Individual provider · Type 1 NPI

Laurie Dimisko

Nurse Practitioner · Atlanta, GA

NPI number 1821784653 Active

Practice location

1520 Clifton Rd NE
Atlanta, GA 30322-4228

Mailing address

789 Houston Mill Rd NE Apt 6
Atlanta, GA 30329-4228

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN281555 (GA)
Nurse Practitioner Primary 363L00000XRN281555 (GA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1821784653

Laurie Dimisko's National Provider Identifier is 1821784653, issued on Apr 14, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Atlanta, GA. The record was last updated on Jul 2, 2025.