| NPI | 1013523422 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROBUSTELLI Owner 603-921-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2021-08-20 |