Daniel Richard Damitio, NP-C
Nurse Practitioner, Family in Biloxi, MS. Individual provider (NPI-1).
NPI number1982180386
StatusActive
Last updated in NPPESJul 18, 2018
Details
- NPI
- 1982180386
- Entity type
- Individual (NPI-1)
- Name
- Daniel Richard Damitio
- Credential
- NP-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 18, 2018
- Last updated
- Jul 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 902702 | MS | Yes |
Practice location
2781 C T Switzer Sr Dr Ste 400Biloxi, MS 39531-4535
Phone 228-388-4585
Mailing address
2781 C T Switzer Sr Dr Ste 400Biloxi, MS 39531-4535
Phone 228-388-4585
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