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Richard Barrie Dalrymple, Nurse Practitioner

Nurse Practitioner, Family in Waterford, MI. Individual provider (NPI-1).

NPI number1972164366
StatusActive
Last updated in NPPESJun 26, 2019

Details

NPI
1972164366
Entity type
Individual (NPI-1)
Name
Richard Barrie Dalrymple
Credential
Nurse Practitioner
Sex
Male
Sole proprietor
No
Enumeration date
Jun 26, 2019
Last updated
Jun 26, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - NURSE PRACTITIONER
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LF0000X Nurse Practitioner, Family4704304061NSA190C6MIYes

Practice location

3249 Golfhill Dr
Waterford, MI 48329-4520

Phone 810-479-1677

Mailing address

3249 Golfhill Dr
Waterford, MI 48329-4520

Phone 810-479-1677

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Nurse Practitioner providers in Waterford, MI

All 33 Family Nurse Practitioner providers in Waterford · All 1,575 providers in Waterford

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