Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 019403-23 | NH |
N | 363LP0200X | Nurse Practitioner - Pediatrics | AP081671 | ME |
NPI | 1033137229 |
---|---|
Provider Name | Claire D Menard |
First Address | Somersworth, NH 03878-1639 |
Second Address | Somersworth, NH 03878 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 19/06/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3076860 | (05) | NH |
432357399 | (05) | ME |