Provider Demographics
NPI:1104975135
Name:DAHME, PATRICIA K (ARNP)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:K
Last Name:DAHME
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 1:21 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-4000
Mailing Address - Country:US
Mailing Address - Phone:603-225-2985
Mailing Address - Fax:603-225-6160
Practice Address - Street 1:21 GREEN ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-4000
Practice Address - Country:US
Practice Address - Phone:603-225-2985
Practice Address - Fax:603-225-6160
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH028420-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1024040OtherCIGNA
NH30005674Medicaid
NH4004204Y0NH01OtherANTHEM
NH1024040OtherCIGNA