is a Nurse Practitioner in Durham, New Hampshire. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1689724916. The last update date is .
's current location address is 12 Ballard St, Durham, New Hampshire. You can contact this provider via phone number 6038621530 and fax number 6038624259. The mailing address for is 12 Ballard St, Durham, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 12 Ballard St, Durham, New Hampshire |
| Phone Number | 6038621530 |
| Fax Number | 6038624259 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1689724916 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 12 Ballard St |
|---|---|
| City | Durham |
| State | New Hampshire (NH) |
| Post Code | 38242308 |
| Phone Number | 6038621530 |
| Fax Number | 6038624259 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 390912305 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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