IndividualActive
Dale Defort, RN CS
NPI 1164406997 · Adult Psychiatric/Mental Health Clinical Nurse Specialist · Salem, MA
Provider details
- NPI number
- 1164406997
- Entity type
- Individual
- Primary specialty
- Adult Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN CS
- Sex
- Female
- Sole proprietor
- No
- License
- 110410 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
30 Federal St
Ste B
Salem, MA 01970
Phone: (978) 740-9590
Fax: (978) 744-5486
Approximate (ZIP-level) locationGet directions
Mailing address
30 Federal St
Salem, MA 01970
Registry dates
- Enumerated
- 2005-12-05
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.