Individual
MICHELLE F MCNEILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
391 WEST ST, KEENE, NH 03431-2409
(603) 354-3155
(603) 354-3156
Mailing address
391 WEST ST, KEENE, NH 03431-2409
(603) 354-3155
(603) 354-3156
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
067540-23
NH
363L00000X
Nurse Practitioner
163730
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1514406
—
TN
Enumeration date
04/17/2009
Last updated
07/30/2013
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