Mary Angela Dalmolin, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN029179 Issued in AZ

Practice address

200 West Hospital Drive
Whiteriver, AZ 85941-1267

Phone

(928) 338-4911

Fax

(928) 338-1395

NPI assigned

May 13, 2011

Last updated

May 13, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Ms. Mary Angela Dalmolin Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305244800000",
    "number": "1497047039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 WEST HOSPITAL DR",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859411267",
            "telephone_number": "928-338-4911",
            "fax_number": "928-338-1395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WEST HOSPITAL DRIVE",
            "city": "WHITERIVER",
            "state": "AZ",
            "postal_code": "859411267",
            "telephone_number": "928-338-4911",
            "fax_number": "928-338-1395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMOLIN",
        "first_name": "MARY",
        "middle_name": "ANGELA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN029179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "DALMOLIN",
            "middle_name": "ANGELA",
            "prefix": "MS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John S Condojani, D.O.
• Patrick Eugene Conlisk, RN
• Gayla Mae Cox, RN
• Todd Craft Jr.
• Lisa Christine Dailey, PA-C
• DHHS IHS Phoenix Area (Whiteriver Indian Hospital)
• DHHS IHS Phoenix Area (Whiteriver Service Unit Dental Clinic)
• DHHS IHS Phoenix Area (Whiteriver Indian Hospital)
• DHHS IHS Phoenix Area (Whiteriver Indian Hospital)
• DHHS IHS Phoenix Area (Whiteriver Indian Hospital)

• Registered Nurse in Whiteriver, AZ
• Providers in Whiteriver, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.