Individual provider · Type 1 NPI

Darcie Ann Dibasio

Psychiatric/Mental Health Nurse Practitioner · West Bloomfield, MI

NPI number 1922354653 Active

Practice location

5600 W Maple Rd Ste B204
West Bloomfield, MI 48322-3707

Call (586) 465-1482 Map

Mailing address

18198 Millar Rd
Clinton Township, MI 48036-2088

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X4704249095 (MI)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1922354653

Darcie Ann Dibasio's National Provider Identifier is 1922354653, issued on Jul 31, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Bloomfield, MI. The record was last updated on Jul 31, 2012.