Tina M Dalrymple, PHD, APRN, F.N.P.
Individual provider Active NPI Community Health Nurse Practitioner · Morris, NY
NPI 1770538142 · NPPES record last updated Sep 3, 2013
Key facts
- NPI
- 1770538142
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Nurse Practitioner 363LC1500X
- License
- F320046 (NY)
- Practice address
- 65 Main St
Morris, NY 13808 - Phone
- (607) 263-2619
- Fax
- (607) 263-9629
- NPI assigned
- May 24, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F320046 | NY | MD | Community Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | F320046 | NY | Yes |
Addresses
Primary practice location
65 Main St
Morris, NY 13808
Mailing address
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 263-2619
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02439572 | Medicaid | NY |
Other providers in Morris, NY
- Karen L Adams
- Candace Lynn-Eschler Hoag
- Mary Imogene Bassett Hospital
- Morris Central School
- Morris Fire District
- Sarah M Ricketts
All providers in Morris, NY · Community Health Nurse Practitioner in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.