Provider Demographics
NPI:1821184342
Name:PICCIRILLO, JOYCE DIANE (ARNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:DIANE
Last Name:PICCIRILLO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 PROSPECT ST
Mailing Address - Street 2:SUITE 402, GENERATIONS OB/GYN
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060
Mailing Address - Country:US
Mailing Address - Phone:603-577-3131
Mailing Address - Fax:603-577-3132
Practice Address - Street 1:10 PROSPECT ST
Practice Address - Street 2:SUITE 402, GENERATIONS OB/GYN
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060
Practice Address - Country:US
Practice Address - Phone:603-577-3131
Practice Address - Fax:603-577-3132
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH052594-23-04363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30342779Medicaid
NHQ08161Medicare UPIN
NHNP4454Medicare ID - Type Unspecified