Provider Demographics
NPI:1295794352
Name:DITULIO, MARGARET ANNE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANNE
Last Name:DITULIO
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 1:58 ISLAND POND ROAD
Mailing Address - Street 2:
Mailing Address - City:ATKINSON
Mailing Address - State:NH
Mailing Address - Zip Code:03811-2128
Mailing Address - Country:US
Mailing Address - Phone:603-362-4444
Mailing Address - Fax:603-362-5544
Practice Address - Street 1:58 ISLAND POND ROAD
Practice Address - Street 2:
Practice Address - City:ATKINSON
Practice Address - State:NH
Practice Address - Zip Code:03811-2128
Practice Address - Country:US
Practice Address - Phone:603-362-4444
Practice Address - Fax:603-362-5544
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0225422303363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30011073Medicaid
NH30011073Medicaid
S55781Medicare UPIN