Individual
ROSEANNE M MEDEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5104
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
07525921
NH
363LF0000X
Family Nurse Practitioner
Primary
075259-23
NH
Other
Enumeration date
11/21/2018
Last updated
02/25/2019
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