Provider Demographics
NPI:1306807102
Name:DION, JOSHUA (ARNP)
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:DION
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:706 RIVERWAY PL
Mailing Address - Street 2:BEDFORD COMMONS
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6768
Mailing Address - Country:US
Mailing Address - Phone:603-626-7246
Mailing Address - Fax:603-626-7247
Practice Address - Street 1:706 RIVERWAY PL
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6768
Practice Address - Country:US
Practice Address - Phone:603-626-7246
Practice Address - Fax:603-626-7247
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH054054-21363L00000X
MA250357363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH40Y007901NH01OtherANTHEM
NH3043310Medicare ID - Type Unspecified
NH40Y007901NH01OtherANTHEM
NHNP4876Medicare UPIN