Individual
MICHELLE M DESJARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1070 HOLT AVE, MANCHESTER, NH 03109
(603) 668-4111
Mailing address
1070 HOLT AVE, MANCHESTER, NH 03109-5603
(603) 622-3781
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
058508-23
NH
363LF0000X
Family Nurse Practitioner
Primary
058508-23
NH
Other
Enumeration date
09/18/2007
Last updated
03/24/2021
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