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NPI Code Detail

MEDICARE: NORA CAROLYN DIAL CNM,NP

MEDICARE:   NORA CAROLYN DIAL  CNM,NP
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
1363LX0001XObstetrics & Gynecology Nurse Practitioner360408NY

General Provider Information

NPI Number : 1821342544
Entity Type Code : Individual
Provider Name (Legal Business Name) : NORA CAROLYN DIAL CNM,NP
Provider Business Mailing Address
First Line : 263 PROSPECT ST
Second Line :
City : PLAINFIELD
State : MA
Zip : 01070-9753
Country : US
Telephone Number : 516-659-5601
Fax Number :
Provider Business Practice Location Address
First Line : 263 PROSPECT ST
Second Line :
City : PLAINFIELD
State : MA
Zip : 01070-9753
Country : US
Telephone Number : 516-659-5601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2012
Last Update Date : 11/02/2012

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Directions to “ NORA CAROLYN DIAL CNM,NP” Practice Location

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