Provider Demographics
NPI:1124148234
Name:LONDONDERRY NURSE PRACTITIONERSWHOLEHEALTH CONSULTANTS
Entity type:Organization
Organization Name:LONDONDERRY NURSE PRACTITIONERSWHOLEHEALTH CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHRISTILLES
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:603-434-9733
Mailing Address - Street 1:50 NASHUA RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3400
Mailing Address - Country:US
Mailing Address - Phone:603-434-9733
Mailing Address - Fax:603-434-9406
Practice Address - Street 1:50 NASHUA RD
Practice Address - Street 2:SUITE 103
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3400
Practice Address - Country:US
Practice Address - Phone:603-434-9733
Practice Address - Fax:603-434-9406
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty