Individual
KATIE M PRIEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
100 HITCHCOCK WAY, MANCHESTER, NH 03104
(603) 695-2500
Mailing address
100 HITCHCOCK WAY, MANCHESTER, NH 03104-4125
(603) 695-2500
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
001364
CT
363AM0700X
Medical Physician Assistant
Primary
0761
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3074804
—
NH
05
—
9000523
—
VT
Enumeration date
07/21/2006
Last updated
09/05/2018
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