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Individual

DR. AVERY N NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
580 COURT ST, NORTH BUILDING, LEVEL 1A, KEENE, NH 03431
(603) 354-5496
(603) 354-5498
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
036176719
IL
207Y00000X
Otolaryngology Physician
Primary
24202
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
125.072607
ILLINOIS DEPARTMENT OF FINANCIAL & PROFESSIONAL REGULATION
IL
01
24202
STATE OF NEW HAMPSHIRE BOARD OF MEDICINE
NH
Enumeration date
06/10/2018
Last updated
09/25/2025
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