Diane Wiley, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Exeter, NH
NPI 1003852401 · NPPES record last updated May 12, 2008
Key facts
- NPI
- 1003852401
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 045803 (NH)
- Practice address
- 5 Alumni Dr
Anesthesia Department
Exeter, NH 03833-2128 - Phone
- (603) 580-6624
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 045803 | NH | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seacoast Anesthesia PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 045803 | NH | Yes |
Addresses
Primary practice location
5 Alumni Dr
Anesthesia Department
Exeter, NH 03833-2128
Mailing address
PO Box 845575
Seacoast Anesthesia
Boston, MA 02284-5575
Phone (800) 720-1664
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 430054827 | Other | RAILROAD MEDICARE | |
| 30340717 | Medicaid | NH |
Other providers in Exeter, NH
- Christopher L Wheeler
- Russell Wheeler
- Kristen White
- Sean B White
- Cara A. Whittum
- Erin Marie Williams
- Erika Freese Wilson
- Michael Wofford
- Stephen A Wolfe
- Lisa A Woodman
All providers in Exeter, NH · Certified Registered Nurse Anesthetist in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.