| NPI | 1295246932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ANN DIPAOLA Family Nurse Practitioner 603-731-5907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ AP9834) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: AZ AP9834) |
| Enumeration Date | 2017-10-21 |
| Last Update Date | 2018-06-16 |