Individual
DD DEURELL TRAVERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
5 WASHINGTON PL, BEDFORD, NH 03110-6736
(603) 314-4567
Mailing address
5 WASHINGTON PL, BEDFORD, NH 03110-6736
(603) 314-4567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
061619-21
NH
Other
Enumeration date
06/25/2019
Last updated
06/25/2019
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