Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 7313 | NH |
NPI | 1619076106 |
---|---|
Provider Name | Nate Frank Delisi |
First Address | Hooksett, NH 03106-2604 |
Second Address | Hooksett, NH 03106-2604 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2006 |
Last Update Date | 21/04/2011 |