Organization
PALLIATIVITY MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA WITHROW APRN, FNP-C, ACHPN (OWNER)
(603) 785-8406
Entity
Organization
Contact information
Practice address
116 S RIVER RD, UNIT D2, BEDFORD, NH 03110-6734
(603) 785-8406
Mailing address
304 WESTWOOD DR, MANCHESTER, NH 03103-6122
(603) 785-8406
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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