Individual
CARRIE ILLG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-BC
Contact information
Practice address
5 DOW JONES AVE, NASHUA, NH 03062-3089
(603) 889-3667
(603) 886-1805
Mailing address
5 DOW JONES AVE, NASHUA, NH 03062-3089
(603) 889-3667
(603) 886-1805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
053389-23
NH
Other
Enumeration date
05/29/2019
Last updated
06/24/2019
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