| NPI | 1942750351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCANLON Nurse Practitioner 603-236-9230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NH 054066-23) |
| Enumeration Date | 2016-10-10 |
| Last Update Date | 2016-10-10 |