NPI Index

MS. SUSAN DISTASIO, APRN

Nurse Practitioner

Active Individual
NPI: 1316975469

Practice Address

ONE MEDICAL CENTER DRIVE
DARTMOUTH HITCHCOCK - PAIN MEDICINE/ANESTHESIOLOGY
Lebanon, NH 03756

Phone: (603) 650-6039

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X Yes 064077-23 (NH)
Clinical Nurse Specialist - Oncology 364SX0200X No 001896 (CT)

Frequently Asked Questions

NPI 1316975469 is the National Provider Identifier for MS. SUSAN DISTASIO, APRN, a Nurse Practitioner provider located in Lebanon, NH. This NPI was enumerated on June 29, 2006.
MS. SUSAN DISTASIO, APRN practices at ONE MEDICAL CENTER DRIVE, DARTMOUTH HITCHCOCK - PAIN MEDICINE/ANESTHESIOLOGY, Lebanon, NH 03756.

Quick Facts

NPI
1316975469
Type
Individual
Enumerated
Jun 29, 2006
Last Updated
May 9, 2017

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