Individual
BLAKE NANCY LOPES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
246 PLEASANT ST STE 205, CONCORD, NH 03301-2548
(603) 224-0584
Mailing address
246 PLEASANT ST STE 205, CONCORD, NH 03301-2548
(603) 224-0584
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1821
NH
363AM0700X
Medical Physician Assistant
055.0031335
VT
Other
Enumeration date
02/22/2017
Last updated
09/19/2023
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