NPI 1467196410 · live from the CMS NPI Registry
Nicky Dolla
Nurse Practitioner, Psych/Mental Health in Reisterstown, MD. National Provider Identifier 1467196410, active.
NPI record
| NPI | 1467196410 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Psych/Mental Health 363LP0808X |
| Practice location | 2 Squire Ct, Reisterstown, MD 21136 |
| Practice phone | 301-437-1780 |
| Enumerated | April 26, 2022 |
| Last updated | April 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse, Psych/Mental Health, Adult | 163WP0809X | 210399 (MD) |
| Nurse Practitioner, Psych/Mental Health primary | 363LP0808X | 210399 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.