Individual
ELANA BANNERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 DERRY RD, HUDSON, NH 03051-3023
(603) 886-3979
(603) 886-2898
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18222
NH
207QS0010X
Sports Medicine (Family Medicine) Physician
18222
NH
Other
Enumeration date
03/22/2013
Last updated
08/30/2021
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