Provider Demographics
NPI:1588765176
Name:MACNAIR, JO ELIZABETH (CRNA)
Entity type:Individual
Prefix:
First Name:JO
Middle Name:ELIZABETH
Last Name:MACNAIR
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HIGHLAND RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-3005
Mailing Address - Country:US
Mailing Address - Phone:603-868-9990
Mailing Address - Fax:
Practice Address - Street 1:944 CALEF HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-7244
Practice Address - Country:US
Practice Address - Phone:603-664-0100
Practice Address - Fax:603-664-0101
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2011-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0255012311367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH80009952Medicaid
NH4009060Y0NH02OtherANTHEM BLUE SHIELD
NHNH9952Medicare ID - Type Unspecified