Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 6528 | NH |
NPI | 1003823865 |
---|---|
Provider Name | Dr. Nancy Joan Vanvranken |
First Address | Concord, NH 03301-7560 |
Second Address | Concord, NH 03301-7560 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2006 |
Last Update Date | 05/12/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
343 | (05) | NH |
E77819 | (02) | NH |