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Active
Organization subpart
No

Provider details

NPI number
Authorized official
VICTORIA GORVEATT NP (OWNER)
(603) 318-9244
Entity
Organization

Contact information

Practice address
3 HOVEY RD, LONDONDERRY, NH 03053-2939
(603) 318-9244
Mailing address
3 HOVEY RD, LONDONDERRY, NH 03053-2939
(603) 318-9244

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
NHL10632147
NH
Enumeration date
01/20/2022
Last updated
01/20/2022
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