Individual
MARY FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
20 W PARK ST STE 420, LEBANON, NH 03766-1322
(603) 667-6743
(866) 309-2937
Mailing address
20 W PARK ST STE 420, LEBANON, NH 03766-1322
(603) 667-6743
(866) 309-2937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
084024-23
NH
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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