Healthcare Provider Details

I. General information

NPI: 1265744213
Provider Name (Legal Business Name): DEBORAH A PIPER RN,C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2010
Last Update Date: 07/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 COUNTY DR
LACONIA NH
03246-2900
US

IV. Provider business mailing address

76 COUNTY DR
LACONIA NH
03246-2900
US

V. Phone/Fax

Practice location:
  • Phone: 603-527-5480
  • Fax: 603-524-2574
Mailing address:
  • Phone: 603-527-5480
  • Fax: 603-524-2574

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number027510-21
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number027510-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: