Kristin Michele Detlefsen in Manchester - Surgical
Kristin Michele Detlefsen - NPI 1457436354
Kristin Michele Detlefsen is a Surgical in Manchester, New Hampshire. Kristin Michele Detlefsen practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kristin Michele Detlefsen is 1457436354. The last update date is 2014-06-23.
Kristin Michele Detlefsen's current location address is 100 Hitchcock Way, Manchester, New Hampshire. You can contact this provider via phone number 6036952500. The mailing address for Kristin Michele Detlefsen is 100 Hitchcock Way, Manchester, New Hampshire. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristin Michele Detlefsen |
|---|---|
| Address | 100 Hitchcock Way, Manchester, New Hampshire |
| Phone Number | 6036952500 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1457436354 |
|---|---|
| Provider Enumeration Date | 2006-10-26 |
| Last Updated Date | 2014-06-23 |
Provider Mailing Address Detail
| Address | 100 Hitchcock Way |
|---|---|
| City | Manchester |
| State | New Hampshire (NH) |
| Post Code | 31044125 |
| Phone Number | 6036952500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgical |
|---|---|
| Taxonomy | 363As0400X |
| Licence No | 604 |
|
Definition: A licensed healthcare professional who assists in providing surgical care under physician supervision. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3076097 | NH | -- | |
| 30336099 | NH | -- |
Post Comment/ Review Below
What is the Kristin Michele Detlefsen's unique identification number?
The Kristin Michele Detlefsen has been assigned the NPI (National Provider Identifier) Number 1457436354 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Kristin Michele Detlefsen is located?
The Kristin Michele Detlefsen is situated at the following address: 100 Hitchcock Way, Manchester, NH, 31044125.
What is the Kristin Michele Detlefsen's specialty and taxonomy code?
The Kristin Michele Detlefsen's specialty is Surgical, and the corresponding taxonomy code is 363As0400X.
On what date did the Kristin Michele Detlefsen receive its 1457436354 assignment from the Centers for Medicare & Medicaid Services?
The Kristin Michele Detlefsen was assigned its 1457436354 by the Centers for Medicare & Medicaid Services on 2006-10-26.
As of what date were the details related to Kristin Michele Detlefsen most recently updated or revised?
The information pertaining to Kristin Michele Detlefsen, including its address, specialty, and other relevant details, was last updated or revised on 2014-06-23.