Individual
MRS. COLLEEN SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-BC
Contact information
Practice address
6 TSIENNTO ROAD, SUITE 101LL, DERRY, NH 03038
(781) 744-8400
(781) 744-5245
Mailing address
41 MALL RD, LAHEY CLINIC, BURLINGTON, MA 01805-0001
(781) 744-8400
(781) 744-5245
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
067080-21
NH
363L00000X
Nurse Practitioner
RN/NP2259447
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110095056A
—
MA
05
—
3087936
—
NH
Enumeration date
10/14/2010
Last updated
09/25/2013
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