Active NPIIndividual provider

Ms. Susan A Distasio, APRN

Nurse Practitioner in Lebanon, New Hampshire

NPI Number1316975469
Practice location
One Medical Center Drive, Dartmouth Hitchcock - Pain Medicine/Anesthesiology, Lebanon, NH 03756-0001
Fax
—
Last updated
May 9, 2017

Susan A Distasio is a Nurse Practitioner based in Lebanon, NH. 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 (NH). The current practice location address for Susan A Distasio is One Medical Center Drive, Dartmouth Hitchcock - Pain Medicine/Anesthesiology, Lebanon, NH 03756-0001 and can be reached out via phone at 603-650-6039.

Provider Profile Details

NPI Number
1316975469
Provider Name
Susan A Distasio
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
One Medical Center Drive, Dartmouth Hitchcock - Pain Medicine/Anesthesiology, Lebanon, NH 03756-0001
Phone Number
603-650-6039
Primary Taxonomy
Nurse Practitioner · 363L00000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2006
Last Update Date
May 9, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
One Medical Center Drive
Dartmouth Hitchcock - Pain Medicine/Anesthesiology
Lebanon, NH 03756-0001
Zip
03756-0001
Phone Number
603-650-6039
Lebanon, NH 03756Get directions →

Provider Business Mailing Address Details

Address
One Medical Center Drive
Dartmouth Hitchcock - Pain Medicine/Anesthesiology
Lebanon, NH 03756-0001
City
Lebanon
State
NH
Zip
03756-0001
Phone Number
603-650-6039

License Information

License Number (1)
064077-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner · 363L00000X · Primary
License Number (2)
001896
License State (2)
CT
Taxonomy (2)
Clinical Nurse Specialist, Oncology · 364SX0200X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Susan A Distasio, APRN?

The NPI number of Ms. Susan A Distasio, APRN is 1316975469. It was assigned on June 29, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Susan A Distasio, APRN?

Ms. Susan A Distasio, APRN is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NH under license number 064077-23.

Where does Ms. Susan A Distasio, APRN practice?

The practice location is One Medical Center Drive, Dartmouth Hitchcock - Pain Medicine/Anesthesiology, Lebanon, NH 03756-0001. The office can be reached at 603-650-6039 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1316975469 directly on the NPPES registry website.

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