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Individual

CAROL A LANDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
454 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-3695
(603) 424-8120
(603) 424-8140
Mailing address
456 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-3699
(603) 424-8120
(603) 424-8140

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0246942303
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
020451281
TAX ID #
01
0246942303
BON LIC #
NH
01
23YP02407NH01
BC/BS IPN
NH
01
30D0084963
CLIA ID #
NH
01
50Y095600NH01
BC/BS GROUP ID #
NH
Enumeration date
07/10/2006
Last updated
03/07/2023
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