Individual
DANA M DIMICHELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPNP
Contact information
Practice address
605 W STATE ST, MEDIA, PA 19063-2620
(215) 662-2560
Mailing address
605 W STATE ST FL 2, MEDIA, PA 19063-2620
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP024955
PA
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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