Individual
CHELSEY E PRUGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
82 HIDDEN VALLEY DR, DOVER, NH 03820-5216
(207) 351-5339
Mailing address
82 HIDDEN VALLEY DR, DOVER, NH 03820-5216
(207) 351-5339
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1153
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103419
—
NH
Enumeration date
12/16/2015
Last updated
03/29/2022
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