| NPI | 1669700050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE L TYRRELL Office Administrator 603-886-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 027571-23-08) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2009-11-24 |