# HOLLY DIMEGLIO, ANP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407189764
- **Authorized official:** HOLLY DIMEGLIO ANP (OWNER)
- **Authorized official phone:** (907) 644-3968

## Contact information

- **Practice address:** 1407 W. 31ST AVE,, STE 201, ANCHORAGE, AK 99503
- **Practice address phone:** (907) 644-3968
- **Practice address fax:** (907) 644-3969
- **Mailing address:** PO BOX 111602, ANCHORAGE, AK 99511-1602
- **Mailing address phone:** (907) 644-3968
- **Mailing address fax:** (907) 644-3969

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 928 | AK | Yes |

## Other

- **Enumeration date:** 09/17/2009
- **Last updated:** 10/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | MPG0073 | — | AK |