Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 8587 | NH |
N | 2080P0201X | Pediatric Allergist | 8587 | NH |
NPI | 1033116140 |
---|---|
Provider Name | Barbara Deuell |
First Address | Portsmouth, NH 03801-7158 |
Second Address | Portsmouth, NH 03801-7113 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/07/2005 |
Last Update Date | 31/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0106050Y0NH01 | ANTHEM OF NH ID # (01) | NH |
30004413 | (05) | NH |
E96871 | (02) | NH |