Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 069788-23 | NH |
NPI | 1003477613 |
---|---|
Provider Name | Stephanie W Scripture |
First Address | Manchester, NH 03104 |
Second Address | Manchester, NH 03104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/06/2019 |
Last Update Date | 07/10/2021 |