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Individual

MRS. SHANNON MELISSA BRANCIERI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
4 BIRCH ST, DERRY, NH 03038-2136
(603) 635-2802
(603) 635-3070
Mailing address
784 HERCULES DR STE 110, COLCHESTER, VT 05446-8049
(802) 448-9787
(802) 448-9787

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
072588-23
NH
363LF0000X
Family Nurse Practitioner
RM2304686
MA
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
336834
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3120836
NH
Enumeration date
06/22/2011
Last updated
03/03/2023
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