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NPI Code Detail

MEDICARE: JOSEPHINE LYNN DIMARCELLO PMHNP-BC

MEDICARE: JOSEPHINE LYNN DIMARCELLO PMHNP-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
1163W00000XRegistered NurseRN599819PA
2363LP0808XPsychiatric/Mental Health Nurse PractitionerSP026028PA

General Provider Information

NPI Number : 1730812744
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE LYNN DIMARCELLO PMHNP-BC
Provider Business Mailing Address
First Line : 3940 LOCUST LN
Second Line :
City : HARRISBURG
State : PA
Zip : 17109-4023
Country : US
Telephone Number : 800-245-7277
Fax Number : 717-545-5491
Provider Business Practice Location Address
First Line : 3400 CONCORD RD
Second Line :
City : YORK
State : PA
Zip : 17402-9002
Country : US
Telephone Number : 717-840-7580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2022
Last Update Date : 09/07/2022

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