| Erin Lee Diciolla, RN, APRN, PMHNP-BC | |
|
1112 Nodak Dr S, Fargo, ND 58103-2333 | |
| (701) 232-6224 | |
| (701) 232-4687 |
| Full Name | Erin Lee Diciolla |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1112 Nodak Dr S, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457134678 | NPI | - | NPPES |
| 420145421 | Medicaid | MO | |
| 334022758 | Medicaid | AR |
| Entity Name | Valley Christian Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467559427 PECOS PAC ID: 6709845654 Enrollment ID: O20041006000696 |
| Mailing Address | Practice Location Address |
|---|---|
| Erin Lee Diciolla, RN, APRN, PMHNP-BC 3600 S National Ave, Springfield, MO 65807-7311 Ph: (417) 322-6622 | Erin Lee Diciolla, RN, APRN, PMHNP-BC 1112 Nodak Dr S, Fargo, ND 58103-2333 Ph: (701) 232-6224 |
Wendy M Moore, NURSE PRACTITIONER Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 901 28th St S, Fargo, ND 58103 Phone: 701-404-1100 Fax: 701-540-6498 | |
Mrs. Kayla L. Nelson, DNP, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Np Ave N, Fargo, ND 58102 Phone: 701-271-3344 | |
Kyrie Marie Severson, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104 Phone: 701-364-2909 Fax: 701-364-9822 | |
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525 | |
Tonya M Otto, APRN,CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100 | |
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900 | |
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078 |