Healthcare Provider Details
I. General information
NPI: 1790738656
Provider Name (Legal Business Name): NORMAN PAUL LUCIER ARNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/19/2006
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
29 LAFAYETTE RD
NORTH HAMPTON NH
03862-2436
US
IV. Provider business mailing address
29 LAFAYETTE RD
NORTH HAMPTON NH
03862-2436
US
V. Phone/Fax
- Phone: 603-964-9370
- Fax: 603-964-6747
- Phone: 603-964-9370
- Fax: 603-964-6747
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 9211895 |
| License Number State | FL |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 022686-23-03 |
| License Number State | NH |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 163W00000X |
| Taxonomy | Registered Nurse |
| License Number | 022686-21 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: