Individual
MISS MARY LOU CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Mailing address
383 CENTRAL AVE, SUITE 323, DOVER, NH 03820-6420
(603) 749-0043
(603) 749-0135
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
02469921
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
80000025
—
NH
Enumeration date
08/09/2005
Last updated
06/26/2008
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