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Individual

CHRISTINE CLYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
298 WHITE MOUNTAIN HWY, CONWAY, NH 03818-4204
(603) 447-8900
Mailing address
PO BOX 2800, CONWAY, NH 03818-2800

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
0304962304
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1329904
AETNA
05
30341074
NH
01
4008336Y0NH01
ANTHEM BC
NH
01
4710482
CIGNA
01
AA58958
HARVARD PILGRIM
Enumeration date
12/07/2006
Last updated
07/08/2007
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