NPI 1134000813 · live from the CMS NPI Registry
Tina Marie Dipaola, FNP-C
Registered Nurse, General Practice in Severna Park, MD. National Provider Identifier 1134000813, active.
NPI record
| NPI | 1134000813 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Registered Nurse, General Practice 163WG0000X |
| Practice location | 484 Ritchie Hwy Ste A, Severna Park, MD 21146 |
| Practice phone | 443-928-1003 |
| Mailing address | 210 Marie Ave, Severna Park, MD 21146 |
| Enumerated | September 10, 2025 |
| Last updated | September 10, 2025 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, General Practice primary | 163WG0000X | R235118 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.