| NPI | 1578944922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A PELLETIER Provider/Owner 603-577-1613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 032840-2303) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |