Individual
THERESA SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM, APRN
Contact information
Practice address
168 KINSLEY ST STE 19, NASHUA, NH 03060-3634
(603) 595-3951
Mailing address
PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8202
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
041620-23
NH
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
041620-23
NH
367A00000X
Advanced Practice Midwife
Primary
041620-23
NH
Other
Enumeration date
10/10/2018
Last updated
12/18/2018
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