Individual
DR. NICOLE DANA DIRIENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1020 FIRST COLONIAL RD STE A, VIRGINIA BEACH, VA 23454-3078
(757) 395-1850
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(703) 369-8055
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
0102202578
VA
2084P0800X
Psychiatry Physician
C2-0012005
DE
2084P0800X
Psychiatry Physician
OP60661266
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316151632
—
VA
Enumeration date
05/09/2007
Last updated
06/03/2025
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