Individual
DIANE MARIE LEGENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
37 KING JAMES RD, ENFIELD, NH 03748-3817
(603) 206-4335
Mailing address
37 KING JAMES RD, ENFIELD, NH 03748-3817
(603) 206-4335
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
047387-21
NH
171M00000X
Case Manager/Care Coordinator
Primary
047387-21
NH
172V00000X
Community Health Worker
026-0035334
VT
Other
Enumeration date
05/02/2007
Last updated
04/27/2009
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