Individual
MRS. ELIZABETH ANNE KIMTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-4628
(603) 650-2334
Mailing address
ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756
(603) 650-4628
(603) 650-2334
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
035293-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035293-23-03
NH ARNP LICENSE
NH
05
—
0NP0826
—
VT
05
—
30011084
—
NH
Enumeration date
08/29/2006
Last updated
08/27/2009
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