Individual
ADRIENNE S CAPEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 669-0413
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 669-0413
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0639P
NH
363AM0700X
Medical Physician Assistant
001509
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30336023
—
NH
Enumeration date
11/09/2006
Last updated
03/10/2021
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