NPI 1154566636 · live from the CMS NPI Registry
Emily Susan Bisson, PNP
Nurse Practitioner, Pediatrics in Lebanon, NH. National Provider Identifier 1154566636, active.
NPI record
| NPI | 1154566636 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 Medical Center Dr, Lebanon, NH 03756 |
| Practice phone | 603-650-5000 |
| Mailing address | 1 Medical Center Dr # 2073, Lebanon, NH 03756 |
| Enumerated | December 11, 2008 |
| Last updated | September 9, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | 4828 (CT) |
| Nurse Practitioner, Pediatrics | 363LP0200X | RN285467 (MA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 066587-23 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.