Organization
HOLLY DIMEGLIO, ANP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY DIMEGLIO ANP (OWNER)
(907) 644-3968
Entity
Organization
Contact information
Practice address
1407 W. 31ST AVE,, STE 201, ANCHORAGE, AK 99503
(907) 644-3968
(907) 644-3969
Mailing address
PO BOX 111602, ANCHORAGE, AK 99511-1602
(907) 644-3968
(907) 644-3969
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
928
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MPG0073
—
AK
Enumeration date
09/17/2009
Last updated
10/01/2009
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