Provider Demographics
NPI:1689064560
Name:DUPREY CONSULTANTS LLC
Entity Type:Organization
Organization Name:DUPREY CONSULTANTS LLC
Other - Org Name:DIABETES CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUPREY
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:6039-866-9365
Mailing Address - Street 1:353 BLUEBERRY LN
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-5542
Mailing Address - Country:US
Mailing Address - Phone:603-986-6935
Mailing Address - Fax:
Practice Address - Street 1:45 WASHINGTON ST
Practice Address - Street 2:SUITE 6
Practice Address - City:CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03818-6031
Practice Address - Country:US
Practice Address - Phone:603-662-0166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-29
Last Update Date:2015-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH032355-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHS30927Medicare UPIN