Individual
DIANE NUGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
73 CORPORATE DR, SUITE 100, PORTSMOUTH, NH 03801-2847
(603) 610-8051
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 610-8051
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16468
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3098429
—
NH
Enumeration date
04/20/2006
Last updated
10/28/2016
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