Susan A Distasio in Lebanon - Nurse Practitioner
Susan A Distasio - NPI 1316975469
Susan A Distasio is a Nurse Practitioner in Lebanon, New Hampshire. Susan A Distasio practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Susan A Distasio is 1316975469. The last update date is 2017-05-09.
Susan A Distasio's current location address is One Medical Center Drive, Lebanon, New Hampshire. You can contact this provider via phone number 6036506039. The mailing address for Susan A Distasio is One Medical Center Drive, Lebanon, New Hampshire. To know further, please read the information below!
Provider Profile Detail
Provider Name | Susan A Distasio |
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Address | One Medical Center Drive, Lebanon, New Hampshire |
Phone Number | 6036506039 |
Fax Number | |
Sole Proprietor | N |
Credentials | APRN |
NPI Number Detail
NPI Number | 1316975469 |
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Provider Enumeration Date | 2006-06-29 |
Last Updated Date | 2017-05-09 |
Provider Mailing Address Detail
Address | One Medical Center Drive |
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City | Lebanon |
State | New Hampshire (NH) |
Post Code | 37560001 |
Phone Number | 6036506039 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 064077-23 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4196368 | CT | -- |
Post Comment/ Review Below
What is the Susan A Distasio's unique identification number?
The Susan A Distasio has been assigned the NPI (National Provider Identifier) Number 1316975469 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Susan A Distasio's facilities are situated?
The facilities of Susan A Distasio are physically located at the following address: One Medical Center Drive, Lebanon, NH, 37560001.
What is Susan A Distasio's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan A Distasio's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did Susan A Distasio receive its 1316975469 assignment from the Centers for Medicare & Medicaid Services?
The Susan A Distasio was assigned its 1316975469 on 2006-06-29, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Susan A Distasio's information last updated?
The Susan A Distasio's information was last updated on 2017-05-09.