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Ms. Susan A Distasio, APRN
Oncology Clinical Nurse Specialist in Lebanon, New Hampshire
NPI 1316975469

Susan A Distasio is a Oncology Clinical Nurse Specialist based in Lebanon, NH and is specialized in Oncology. Susan A Distasio practices in Lebanon, NH and has the professional credentials of APRN. The NPI Number for Susan A Distasio is 1316975469 and holds a License No. 064077-23 (New Hampshire).

The current practice location address for Susan A Distasio is One Medical Center Drive, Lebanon, NH and can be reached out via phone at 603-650-6039.

Location: One Medical Center Drive, Lebanon, NH, 03756-0001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316975469
Provider Name
Susan A Distasio
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
One Medical Center Drive, Lebanon, NH, 03756-0001
Phone Number
603-650-6039
Fax Number
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4196368 05 CT
institution
Provider Business Practice Location Address Details
Address
One Medical Center Drive
City
Lebanon
State
New Hampshire
Zip
03756-0001
Phone Number
603-650-6039
Fax Number
person
Provider Business Mailing Address Details
Address
One Medical Center Drive
City
Lebanon
State
New Hampshire
Zip
03756-0001
Phone Number
603-650-6039
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
001896 (Connecticut)
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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Clinical Nurse Specialist
Speciality
Oncology
Taxonomy
364SX0200X
License No.
064077-23 (New Hampshire)
Definition
Definition to come...
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