Organization
DIABETES AND LIFESTYLE MANAGEMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES MERVILLE HARRIS JR. APRN (DIRECTOR)
(603) 552-3309
Entity
Organization
Contact information
Practice address
15 TSIENNETO RD STE 200, DERRY, NH 03038-1557
(603) 552-3309
(603) 965-4177
Mailing address
15 TSIENNETO RD STE 200, DERRY, NH 03038-1557
(603) 552-3309
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
041658-23
NH
Other
Enumeration date
09/16/2015
Last updated
01/31/2024
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