Provider Demographics
NPI:1972868719
Name:DILLINGER, CARA M (NP-C)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:M
Last Name:DILLINGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:810 N WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:BERNIE
Mailing Address - State:MO
Mailing Address - Zip Code:63822-8901
Mailing Address - Country:US
Mailing Address - Phone:573-293-5336
Mailing Address - Fax:573-293-5338
Practice Address - Street 1:810 N WALNUT ST
Practice Address - Street 2:
Practice Address - City:BERNIE
Practice Address - State:MO
Practice Address - Zip Code:63822-8901
Practice Address - Country:US
Practice Address - Phone:573-293-5336
Practice Address - Fax:573-293-5338
Is Sole Proprietor?:No
Enumeration Date:2012-07-09
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012019345363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily