Healthcare Provider Details

I. General information

NPI: 1003091737
Provider Name (Legal Business Name): DEBORAH DICASTRO-SCHAFFER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH DICASTRO BARKER ARNP

II. Dates (important events)

Enumeration Date: 12/31/2007
Last Update Date: 09/27/2022
Certification Date: 09/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 MIDDLE ST
LANCASTER NH
03584-3508
US

IV. Provider business mailing address

173 MIDDLE ST
LANCASTER NH
03584-3508
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-4911
  • Fax: 603-788-5607
Mailing address:
  • Phone: 603-788-4911
  • Fax: 603-788-5607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number057035-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9361210
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number057035-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: