Individual
MS. SUSAN M MCKEOWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1245 ELM STREET, MANCHESTER, NH 03101-1308
(603) 668-6629
(603) 622-7680
Mailing address
1245 ELM STREET, MANCHESTER, NH 03101-1308
(603) 668-6629
(603) 622-7680
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
016062 21
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008740
—
NH
Enumeration date
11/16/2006
Last updated
07/08/2007
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