Organization
CENTER STATE WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL ALLEN HOWARD (APRN)
(603) 556-7101
Entity
Organization
Contact information
Practice address
60 COMMERCIAL ST STE 303, CONCORD, NH 03301-5096
(603) 556-7101
(949) 404-6458
Mailing address
60 COMMERCIAL ST STE 303, CONCORD, NH 03301-5096
(603) 556-7101
(949) 404-6458
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/21/2022
Last updated
01/25/2024
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