Individual
SAVANNAH M FODERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
770 CENTRAL AVE, DOVER, NH 03820-3437
(603) 742-0101
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
071399-23
NH
363LF0000X
Family Nurse Practitioner
5008982
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3124181
—
NH
Enumeration date
09/30/2016
Last updated
06/28/2022
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