Provider Demographics
NPI:1861686800
Name:DIMSDALE, ALLISON WALP (NP)
Entity Type:Individual
Prefix:MRS
First Name:ALLISON
Middle Name:WALP
Last Name:DIMSDALE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4130 WALLINGFORD PL
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-5541
Mailing Address - Country:US
Mailing Address - Phone:919-490-0322
Mailing Address - Fax:919-572-6055
Practice Address - Street 1:6301 HERNDON RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6315
Practice Address - Country:US
Practice Address - Phone:919-571-6107
Practice Address - Fax:919-572-6055
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9500836363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner