Individual
DANNA SEAHOLM FANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
599 LAFAYETTE RD, PORTSMOUTH, NH 03801-5409
(603) 942-7900
Mailing address
241 OLDFIELDS RD, SOUTH BERWICK, ME 03908-1757
(774) 571-8413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
073860-21
NH
363LF0000X
Family Nurse Practitioner
Primary
073860-23
NH
363LF0000X
Family Nurse Practitioner
F02210912
NH
Other
Enumeration date
09/03/2020
Last updated
11/07/2021
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