Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 066010-23 | NH |
NPI | 1790446664 |
---|---|
Provider Name | Julie Kaye Limmer |
First Address | Glen, NH 03838-0515 |
Second Address | North Conway, NH 03860-0386 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/01/2022 |
Last Update Date | 04/01/2022 |