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Individual

STEPHANIE H G KASSELS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
172 GOVERNOR WENTWORTH HWY, YMCA CAMP BELKNAP, MIRROR LAKE, NH 03853
(720) 470-2000
Mailing address
PO BOX 1546, WOLFEBORO, NH 03894-1546
(720) 470-2000

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
067497-23
NH
363LF0000X
Family Nurse Practitioner
Primary
177623
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
26470781
CO
Enumeration date
07/23/2009
Last updated
05/20/2019
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