| NPI | 1568801165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA GORVEATT Nurse Practitioner / Director 603-552-3309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 05965623) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 059656-23) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2013-07-25 |