Individual
JEAN M HUETHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,ACNP
Contact information
Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-5310
Mailing address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-5310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F430065
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347046
—
NH
01
—
NP0782
PREFERRED CARE
NY
01
—
P019430065
BLUE CHOICE
NY
Enumeration date
08/13/2006
Last updated
10/06/2011
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