| NPI | 1629390935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUELLEN DRAKE Owner 603-942-5694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 04081123) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 04081123) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NH 05729323) | |
| Enumeration Date | 2010-02-28 |
| Last Update Date | 2010-07-07 |