Nicole Marie Diodato, CRNP | |
5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 | |
(443) 806-8858 | |
Not Available |
Full Name | Nicole Marie Diodato |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5000 Thayer Ctr Ste C, Oakland, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033786363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | R165336 (Maryland) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | R165336 (Maryland) | Primary |
Entity Name | Matclinic Physicians Practice Group Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490 |
Mailing Address | Practice Location Address |
---|---|
Nicole Marie Diodato, CRNP 103 N Main St, Bel Air, MD 21014-3539 Ph: (888) 333-1345 | Nicole Marie Diodato, CRNP 5000 Thayer Ctr Ste C, Oakland, MD 21550-1139 Ph: (443) 806-8858 |
Brenda Sue Moreland, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 | |
Mrs. Kaylene Lynn Gray, CRNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 301-533-3299 | |
Kabrima Y Petty, DNP, APRN, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5000 Thayer Ctr Ste C, Oakland, MD 21550 Phone: 803-493-6264 | |
Kela Lynn Thomas, CRNP FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-616-9056 | |
Amber Elizabeth Stonesifer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 251 N 4th St, Oakland, MD 21550 Phone: 301-533-4000 | |
Ms. Marian Penelope Thomas, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1027 Memorial Dr, Oakland, MD 21550 Phone: 301-533-3300 Fax: 833-448-0361 |