Michelle M Desjardins
Family Doctor - Hospice and Palliative Medicine Nurse Practitioner - Family Medicine
1070 Holt Ave
Manchester
, New Hampshire 03109
Michelle M Desjardins
Family Doctor - Hospice and Palliative Medicine Nurse Practitioner - Family Medicine
1070 Holt Ave
Manchester
, New Hampshire 03109
(603) 622-3781
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About
Features
Specialties
- Family Doctor - Hospice and Palliative Medicine
- Nurse Practitioner - Family Medicine
Languages spoken
- English
Location
First Address
- Michelle M Desjardins
- 1070 Holt Ave
- Manchester, NH
- Zip : 03109-5603
- Phone : (603) 622-3781
Second Address
- Michelle M Desjardins
- 1070 Holt Ave
- Manchester, NH
- Zip : 03109
- Phone : (603) 668-4111
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Is Michelle M Desjardins a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 058508-23 | NH |
| Y | 363LF0000X | Nurse Practitioner - Family Medicine | 058508-23 | NH |
National Provider Identifier
| NPI | 1265628846 |
|---|---|
| Provider Name | Michelle M Desjardins |
| First Address | Manchester, NH 03109-5603 |
| Second Address | Manchester, NH 03109 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/09/2007 |
| Last Update Date | 24/03/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.