Individual
STEPHANIE NICOLE CONDODEMETRAKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
775 S. MAIN ST., MANCHESTER MEDICAL GROUP, MANCHESTER, NH 03102-5143
(603) 663-7300
(603) 663-7333
Mailing address
775 S. MAIN ST., MANCHESTER MEDICAL GROUP, MANCHESTER, NH 03102-5143
(603) 663-7300
(603) 663-7333
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
055471-21
NH
363L00000X
Nurse Practitioner
Primary
055471-23
NH
Other
Enumeration date
03/13/2009
Last updated
04/09/2021
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