Organization
ELLIOT HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHLEEN MARY WILEY ARNP,MSN (ADULT NURSE PRACTITIONER)
(603) 663-8400
Entity
Organization
Contact information
Practice address
275 MAMMOTH RD, SUITE 3, MANCHESTER, NH 03109-4133
(603) 663-8400
(603) 663-8497
Mailing address
275 MAMMOTH RD, SUITE 3, MANCHESTER, NH 03109-4133
(603) 663-8400
(603) 663-8497
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
039363-23-05
NH
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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