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Individual
MS. MARY I CARLSON
Active
Individual
MS. MARY I CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
029057-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008542
—
NH
Enumeration date
12/20/2005
Last updated
01/12/2026
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