Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 024848-23 | NH |
NPI | 1013013622 |
---|---|
Provider Name | Nancy Thomson |
First Address | Manchester, NH 03101-1518 |
Second Address | Manchester, NH 03101-1518 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2006 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
020258994-80 | HARVARD PILGRIM (01) | NH |
1049976 | CIGNA (01) | NH |
4001364Y0NH01 | BLUE CROSS (01) | NH |
S59166 | (02) | NH |