VICKI TANNER PETALAS

SOMERSWORTH, NH
NPI1275197741
Former NameVICKI ANNE TANNER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NH  049901-23)
Enumeration Date2019-04-30
Last Update Date2019-07-26
Business Address
Mrs. VICKI TANNER PETALAS FNP
255 ROUTE 108
SOMERSWORTH, NH 03878-1543
Phone number: 603-841-2301
Mailing Address
Mrs. VICKI TANNER PETALAS FNP
300 SOUTHBOROUGH DR
SOUTH PORTLAND, ME 04106-6914
Phone number:
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