Individual provider · NPI-1

Emily Susan Bisson, PNP

Nurse Practitioner, Pediatrics · Lebanon, NH

NPI number1154566636
StatusActive
Last updated in NPPESSep 9, 2022

Details

NPI
1154566636
Entity type
Individual (NPI-1)
Name
Emily Susan Bisson
Credential
PNP
Sex
Female
Sole proprietor
No
Enumeration date
Dec 11, 2008
Certification date
Sep 9, 2022
Last updated
Sep 9, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics066587-23NHYes
363LP0200X Nurse Practitioner, Pediatrics4828CT
363LP0200X Nurse Practitioner, PediatricsRN285467MA

Practice location

1 Medical Center Dr
Lebanon, NH 03756-1000

Phone 603-650-5000

Mailing address

1 Medical Center Dr # 2073
Lebanon, NH 03756-1000

Phone 603-650-5000

Other practice locations

333 Cedar St
Lmp 2073
New Haven, CT 06510-3206

Phone 203-785-4640 · Fax 203-737-2228

282 Washington St
Hartford, CT 06106-3322

Phone 860-837-9630 · Fax 860-837-9622

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