Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 071559-23 | NH |
N | 363LA2200X | Nurse Practitioner - Adult Health | 101.0113503 | VT |
N | 363LG0600X | Nurse Practitioner - Gerontology | F302200-1 | NY |
NPI | 1053329482 |
---|---|
Provider Name | Diane M Price |
First Address | Lebanon, NH 03766-6317 |
Second Address | Lebanon, NH 03756-1000 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 27/05/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
P29484 | (02) | NY |