MEDICARE: DR. BIOLA DAMPELLA DNP, FNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4704358740	MI

General Provider Information

NPI Number	:	1215823885
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BIOLA DAMPELLA DNP, FNP-BC

Provider Business Mailing Address
First Line	:	25880 OUTER DR
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1553
Country	:	US
Telephone Number	:	313-389-5200
Fax Number	:

Provider Business Practice Location Address
First Line	:	25880 OUTER DR
Second Line	:
City	:	LINCOLN PARK
State	:	MI
Zip	:	48146-1553
Country	:	US
Telephone Number	:	313-389-5200
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2025
Last Update Date	:	03/04/2026

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