| NPI | 1104883511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL O'SULLIVAN Executive Director 603-663-2315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207LP2900X Anesthesiology, Pain Medicine | |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2011-03-08 |