Provider Demographics
NPI:1619076106
Name:DELISI, NATE FRANK (DO)
Entity Type:Individual
Prefix:
First Name:NATE
Middle Name:FRANK
Last Name:DELISI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:11 KIMBALL DR UNIT 127
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-2604
Mailing Address - Country:US
Mailing Address - Phone:603-626-7900
Mailing Address - Fax:603-626-1780
Practice Address - Street 1:11 KIMBALL DR UNIT 127
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-2604
Practice Address - Country:US
Practice Address - Phone:603-626-7900
Practice Address - Fax:603-626-1780
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH7313204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM