Individual
DAEL BRYONY HARRISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C,
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104
(603) 695-2500
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001549
CT
363A00000X
Physician Assistant
Primary
0779
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075057
—
NH
01
—
72930
VTW/TRICARE
NH
Enumeration date
05/18/2006
Last updated
08/03/2023
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