Individual
WENDY E BAYLES DAZET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN BC
Contact information
Practice address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Mailing address
1 MEDICAL CENTER DRIVE, LEBANON, NH 03756-0001
(603) 650-7232
(603) 650-9478
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0466442308
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011884
—
VT
05
—
30343828
—
NH
Enumeration date
12/01/2006
Last updated
07/08/2007
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