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Individual

MRS. KAREN O'NEIL WETHERBEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
100 MCGREGOR ST, MANCHESTER, NH 03102-3730
(603) 663-6478
(603) 663-6645
Mailing address
23 KENNETH RD, SANDOWN, NH 03873-2352
(603) 887-8178
(603) 887-8178

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
040492-23-03
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000388441
MA
05
283310099
ME
05
30340827
NH
01
4003832Y0NH01
ANTHEM
NH
01
42690
BMC HEALTHNET PLAN
01
500012109
RAILROAD MEDICARE
01
P00909338
RAILROAD MEDICARE
NH
Enumeration date
07/20/2006
Last updated
05/16/2011
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