Individual
SIERRA PARADISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 NURSING HOME DR, CLAREMONT, NH 03743-7344
(603) 542-9511
Mailing address
141 SCHOOL ST, SALEM, NH 03079-2681
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
071631-21
NH
363LF0000X
Family Nurse Practitioner
Primary
071631-23
NH
Other
Enumeration date
03/09/2020
Last updated
12/14/2020
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