Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207ND0101X | MOHS-Micrographic Surgeon | 18945 | NH |
N | 207ND0101X | MOHS-Micrographic Surgeon | 270528 | MA |
N | 207ND0101X | MOHS-Micrographic Surgeon | MD22901 | ME |
NPI | 1477895076 |
---|---|
Provider Name | Dr. Brienne Danielle Cressey |
First Address | Dover, NH 03820-2454 |
Second Address | Dover, NH 03820-2454 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/03/2013 |
Last Update Date | 01/10/2020 |