| NPI | 1033466784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES PATRICK KEADY Practice Manager 603-826-3434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NH 052532-23) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2015-07-20 |