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Individual

MARY M GHEEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5 WASHINGTON PL, BEDFORD, NH 03110-6706
(603) 695-2500
Mailing address
5 WASHINGTON PL, BEDFORD, NH 03110-6706
(603) 695-2500

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
057278-23
NH
363LP0200X
Pediatric Nurse Practitioner
TP006230D
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30344914
NH
Enumeration date
10/04/2006
Last updated
07/24/2012
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