Individual
HOLLY S DIMEGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
1407 W 31ST AVE, SUITE 301, ANCHORAGE, AK 99503-3678
(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
163W00000X
Registered Nurse
928
AK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
928
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP09282
—
AK
Enumeration date
11/17/2006
Last updated
10/20/2009
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