Individual
CHAUNTELLE CLAUDINE CARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 MAIN ST, ANTRIM, NH 03440-3906
(603) 808-0185
(603) 808-0211
Mailing address
55 MAIN ST, ANTRIM, NH 03440-3906
(603) 808-0185
(603) 808-0211
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
04927923
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
244446
MA
Other
Enumeration date
10/04/2021
Last updated
06/05/2024
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