IndividualActive
Nicole Dirienzo, PA-C
NPI 1356995245 · Medical Physician Assistant · Wilmington, DE
Provider details
- NPI number
- 1356995245
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- C5-0001326 (DE)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
3926 Kirkwood Hwy
Wilmington, DE 19808-5110
Phone: (302) 998-2417
Approximate (ZIP-level) locationGet directions
Mailing address
1 Jaymar Blvd
Newark, DE 19702-2878
Registry dates
- Enumerated
- 2019-07-29
- Last updated
- 2024-09-13
- Certified
- 2024-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.