Individual
MICHAEL SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP, MPH
Contact information
Practice address
21 CRAWFORD ST., LITTLETON, NH 03561
(603) 236-9230
Mailing address
21 CRAWFORD ST., PO BOX 905, LITTLETON, NH 03561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
054066-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343321
—
NH
Enumeration date
02/17/2006
Last updated
11/27/2012
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