Individual
HEATHER S PARENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
246 PLEASANT ST STE 206, CONCORD, NH 03301-2548
(603) 415-6685
Mailing address
250 PLEASANT ST, CONCORD, NH 03301-7539
(603) 227-7000
(603) 227-7191
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0373
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30331847
—
NH
Enumeration date
07/10/2006
Last updated
05/23/2024
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