Healthcare Provider Details

I. General information

NPI: 1518293570
Provider Name (Legal Business Name): DAWN SUZETTE STRANIERO APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/27/2009
Last Update Date: 10/11/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DRIVE
LEBANON NH
03257
US

IV. Provider business mailing address

140 MEADOWBROOK ROAD
NEW LONDON NH
03257
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-7390
  • Fax:
Mailing address:
  • Phone: 201-452-9281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberNO90998
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: