| NPI | 1770646614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY M COOMBS Owner 603-431-6677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2012-12-11 |