Individual
MRS. KAYLA ANNE NORTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
ONE MEDICAL CENTER DRIVE, LEBANON, NH 03756-1000
(603) 650-5261
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5261
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
084237-21
NH
363LF0000X
Family Nurse Practitioner
Primary
084237-23
NH
Other
Enumeration date
02/05/2021
Last updated
02/25/2021
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