Individual
ALLISON ANASTASOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 TSIENNETO RD STE 301, DERRY, NH 03038-1584
(603) 432-8802
(603) 437-0118
Mailing address
6 TSIENNETO RD STE 301, DERRY, NH 03038-1584
(603) 432-8802
(603) 437-0118
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
057899-21
NH
363LF0000X
Family Nurse Practitioner
Primary
057899-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3080095
—
NH
Enumeration date
07/14/2016
Last updated
12/12/2018
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