Individual
MRS. ELLEN DENNEHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7574
(603) 569-7582
Mailing address
240 S MAIN ST, WOLFEBORO, NH 03894-4455
(603) 569-7574
(603) 569-7582
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1250
NH
363AM0700X
Medical Physician Assistant
2312
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3107960
—
NH
01
—
T400375874
MEDICARE
NH
Enumeration date
07/26/2007
Last updated
02/21/2025
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