# DYLAN JOHN WALIGROSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1043945322
- **Gender:** Man
- **Credential:** MSN, RN, APN, FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 26NR18929100 | NJ | — |
| 163W00000X | Registered Nurse | 832643 | NY | — |
| 363L00000X | Nurse Practitioner | 26NJ01342100 | NJ | Yes |
| 363L00000X | Nurse Practitioner | 350777 | NY | — |

## Other

- **Enumeration date:** 07/20/2022
- **Last updated:** 05/25/2023