NPI | 1649649021 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES MERVILLE HARRIS Director 603-552-3309 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NH 041658-23) |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2015-09-16 |
Last Update Date | 2024-01-31 |