Individual
HELENE PHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
172 KINSLEY ST, NASHUA, NH 03060-3688
(603) 882-3000
Mailing address
C/O ST MARY'S HEALTH SYSTEM - PROVIDER ENROLLMENT, PO BOX 7291, LEWISTON, ME 04243-7291
(207) 777-8695
(207) 777-8800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1808
NH
363A00000X
Physician Assistant
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—
Other
Enumeration date
10/08/2021
Last updated
01/14/2022
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