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Individual

MAUREEN CULLEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
7 ROPE FERRY RD, #6143, HANOVER, NH 03755-1404
(603) 646-9400
(603) 646-9450
Mailing address
7 ROPE FERRY RD, #6143, HANOVER, NH 03755-1404
(603) 646-9400
(603) 646-9450

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5270821
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06463647
TRICARE
01
23YP05362NH01
ANTHEM ID - NHC
05
30342730
NH
01
795912
MVP ID
01
9315957
PHCS ID
01
H06749
HARVARD PILGRIM
Enumeration date
10/05/2006
Last updated
08/18/2011
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