Individual
DR. MICHELLE S NATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6793
(603) 580-7006
Mailing address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6793
(603) 580-7006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14892
NH
207P00000X
Emergency Medicine Physician
ME91979
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01511
BCBS
FL
05
—
110085918A
—
MA
01
—
1619951373
ANTHEM BCBS
NH
05
—
271519800
—
FL
05
—
30209704
—
NH
05
—
435943599
—
ME
01
—
AA182828
HPHC
NH
Enumeration date
12/05/2005
Last updated
10/28/2010
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