Organization
GRANITE STATE HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA TAPP ANP-BC (OWNER)
(603) 491-9667
Entity
Organization
Contact information
Practice address
1 ACADEMY STREET, DOVER, NH 03820-3724
(603) 842-4401
Mailing address
PO BOX 538, SOMERSWORTH, NH 03878-0538
(603) 491-9667
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102550
—
NH
Enumeration date
07/24/2017
Last updated
07/07/2024
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