Joan Vern Lucca, RN, ANP

Individual provider Active NPI Oncology Registered Nurse · Brentwood, NH

NPI 1164045837 · NPPES record last updated May 28, 2020

Key facts

NPI
1164045837
Entity type
Individual (NPI type 1)
Primary specialty
Oncology Registered Nurse 163WX0200X
License
RN119032 (MA)
Practice address
18 Three Ponds Dr
Brentwood, NH 03833-6659
Phone
(603) 548-0811
NPI assigned
May 28, 2020
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN119032MAMDOncology Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Registered Nurse 163WX0200X RN119032 MA Yes

Addresses

Primary practice location

18 Three Ponds Dr
Brentwood, NH 03833-6659

Mailing address

18 Three Ponds Dr
Brentwood, NH 03833-6659
Phone (603) 548-0811

Other providers in Brentwood, NH

All providers in Brentwood, NH · Oncology Registered Nurse in New Hampshire

Sources for this page

Verify at the official NPI Registry.