Individual
ANNEMARIE DIXE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
739 IRVING AVE, SUITE 530, SYRACUSE, NY 13210-1651
(315) 478-1158
(315) 478-3014
Mailing address
739 IRVING AVE, SUITE 530, SYRACUSE, NY 13210-1651
(315) 478-1158
(315) 478-3014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
422175
NY
363LF0000X
Family Nurse Practitioner
Primary
F331653
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01932838
—
NY
Enumeration date
10/03/2006
Last updated
12/16/2015
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