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JUDY A MISIASZEK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
80 ROUTE 125, KINGSTON, NH 03848-3535
(603) 642-6700
(603) 642-6701
Mailing address
80 ROUTE 125, KINGSTON, NH 03848-3535
(603) 642-6700
(603) 642-6701

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
027211-23-05
NH
363LA2200X
Adult Health Nurse Practitioner
92779
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0327611
MA
01
1129363
AETNA HMO
NH
01
152212
CIGNA NEW HAMPSHIRE
NH
01
23YP05046NH01
BCBS NEW HAMPSHIRE
NH
05
30342329
NH
01
7038239
CIGNA NATIONAL
MA
01
7469782
AETNA PPO
NH
01
NP4193
BCBS MASSACHUSETTS
MA
Enumeration date
03/22/2006
Last updated
11/08/2011
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