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RUSSELL BERRY PAYNE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
88 MCGREGOR ST STE 105, MANCHESTER, NH 03102-3732
(603) 663-6252
(603) 663-6257
Mailing address
30 TRENT RD, HOOKSETT, NH 03106-1709
(603) 210-1703
(603) 210-1703

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
065287-23
NH

Other

Enumeration date
09/08/2021
Last updated
02/03/2023
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