Doctor Name: | MRS. ANNE M DELUCA |
NPI Number: | 1518002112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 036744-23-05 |
Business Practice Address: | 11 Kimball Dr Hooksett, NH - 031062603 |
Business Phone Number: | 6036631990 |
Business Fax Number: | 6036631989 |
Mailing Address: | 11 Kimball Dr, HOOKSETT |
State: | NH |
Postal Code: | 031062603 |
Phone Number: | 6036631990 |
Fax Number: | 6036631989 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 036744-23-05 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |