Individual
DIANE WILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5 ALUMNI DR, ANESTHESIA DEPARTMENT, EXETER, NH 03833-2128
(603) 580-6624
Mailing address
PO BOX 845575, SEACOAST ANESTHESIA, BOSTON, MA 02284-5575
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
045803
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30340717
—
NH
01
—
430054827
RAILROAD MEDICARE
—
Enumeration date
06/22/2006
Last updated
05/12/2008
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