Individual
MARCELLA A DIXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN2270419
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2270416
MA
Other
Enumeration date
06/07/2018
Last updated
09/02/2022
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