Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 023678 | CT |
Y | 2080P0205X | Pediatric Endocrinologist | 14863 | NH |
NPI | 1487986840 |
---|---|
Provider Name | Dr. Nancy J Charest |
First Address | Bedford, NH 03110-6736 |
Second Address | Bedford, NH 03110-6736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2010 |
Last Update Date | 25/09/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30209636 | (05) | NH |