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Organization

CARLA DIMIRIS APRN PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CARLA DIMIRIS PMHNP-BC (PRESIDENT)
(302) 426-2041
Entity
Organization

Contact information

Practice address
2057 PULASKI HWY STE 6, NORTH EAST, MD 21901-3744
(443) 267-2969
Mailing address
9 NATHALIE DR, HOCKESSIN, DE 19707-1147
(302) 302-2726

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
10/09/2018
Last updated
03/08/2025
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