Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 0546392302 | NH |
NPI | 1023177540 |
---|---|
Provider Name | Ms. Anne Mcgann |
First Address | Portsmouth, NH 03801-4174 |
Second Address | Portsmouth, NH 03801-4174 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 08/07/2007 |