Individual
ALICE MCLANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2 BROADWAY AVE, GORHAM, NH 03581-1502
(603) 466-2741
(603) 466-2953
Mailing address
133 PLEASANT ST, BERLIN, NH 03570-2006
(603) 752-2040
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0341412303
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0341412303
STATE LICENSE #
NH
05
—
30344208
—
NH
01
—
3066966
CIGNA HEALTHCARE
NH
05
—
3073733
—
NH
01
—
4147828
MVP HEALTHCARE
NH
Enumeration date
05/15/2006
Last updated
03/07/2023
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