| NPI | 1730126871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE HURD Credentialing/Contracting 603-974-2833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-11-06 |