| NPI | 1114536877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARYLOU CASSIDY Owner/Manager 603-831-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2020-11-02 |