Marcella A Dixon
Registered Nurse, Psych/Mental Health, Adult in Randolph, MA. Individual provider (NPI-1).
NPI number1285127001
StatusActive
Last updated in NPPESSep 2, 2022
Details
- NPI
- 1285127001
- Entity type
- Individual (NPI-1)
- Name
- Marcella A Dixon
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 7, 2018
- Certification date
- Sep 2, 2022
- Last updated
- Sep 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WP0809X | Registered Nurse, Psych/Mental Health, Adult | RN2270419 | MA | Yes |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | RN2270416 | MA |
Practice location
14 Robert Arey DrRandolph, MA 02368-3742
Phone 857-234-6540
Mailing address
14 Robert Arey DrRandolph, MA 02368-3742
Phone 857-234-6540
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