Individual
AMY L DASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
112192-23
NH
363LF0000X
Family Nurse Practitioner
112192-23
NH
363LF0000X
Family Nurse Practitioner
347849
NY
Other
Enumeration date
06/25/2021
Last updated
11/01/2024
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