Individual
BRIANA DELVASTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
(603) 640-1228
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2816
NH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/17/2024
Last updated
12/10/2025
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