| NPI | 1366826828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES KEADY Owner 603-863-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 05253223) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-20 |