person
Mr. Michael V Dimucci, RN,MSN,FNP-C
Family Nurse Practitioner in Morgantown, West Virginia
NPI 1083694806

Michael V Dimucci is a Family Nurse Practitioner based in Minneapolis, WV and is specialized in Family. Michael V Dimucci practices in Morgantown, WV and has the professional credentials of RN,MSN,FNP-C. The NPI Number for Michael V Dimucci is 1083694806 and holds a License No. R 112189-4 (West Virginia).

The current practice location address for Michael V Dimucci is 423 Fortress Blvd, Morgantown, WV and can be reached out via phone at 612-805-8676 and via fax at 249-201-5231.

Location: 423 Fortress Blvd, Morgantown, WV, 55441-4496
person
Provider Profile Details
NPI Number
1083694806
Provider Name
Michael V Dimucci
Credential
RN,MSN,FNP-C
Provider Entity Type
Individual
Gender
Male
Address
423 Fortress Blvd, Morgantown, WV, 55441-4496
Phone Number
612-805-8676
Fax Number
249-201-5231
Provider Enumeration Date
01/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
497460300 05 MN
F0402042 01 AANP BOARD CERTIFICATION
P0825227 01 NAT'L REGISTRY PARAMEDIC
R1121894 01 MN RN LICENSE
institution
Provider Business Practice Location Address Details
Address
423 Fortress Blvd
City
State
Zip
26508-1351
Phone Number
612-805-8676
Fax Number
249-201-5231
person
Provider Business Mailing Address Details
Address
423 Fortress Blvd
City
State
Zip
26508-1351
Phone Number
612-805-8676
Fax Number
249-201-5231
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R 112189-4 (Minnesota)
Definition
Definition to come...
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