Individual
SUSAN L MCKERNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP APRN BC
Contact information
Practice address
19 HAMPTON RD, EXETER, NH 03833-4838
(603) 778-1752
(603) 778-1493
Mailing address
PO BOX 655, EXETER, NH 03833-0655
(603) 778-1752
(603) 778-1493
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
0281082303
NH
363LF0000X
Family Nurse Practitioner
Primary
0281082303
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30342100
—
NH
Enumeration date
05/05/2006
Last updated
04/20/2010
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