Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | RN2276154 | MA |
NPI | 1023450707 |
---|---|
Provider Name | Mrs. Erin Elizabeth Mcdonough |
First Address | Manchester, NH 03102-3730 |
Second Address | Manchester, NH 03102-3730 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2013 |
Last Update Date | 16/03/2021 |