| NPI | 1407546583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRISTA PEHL Nurse Practitioner 603-577-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine |
| Enumeration Date | 2023-05-11 |
| Last Update Date | 2023-09-01 |