Individual
KRISTIN FEDORCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-3162
(603) 622-8677
Mailing address
150 TARRYTOWN RD, MANCHESTER, NH 03103-2713
(603) 622-3162
(603) 622-8677
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
040987-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040987-23
NH APRN LICENSE
NH
Enumeration date
03/02/2017
Last updated
04/23/2026
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