Individual
MR. STEVEN JAMES BIRCHENOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6819
Mailing address
PO BOX 412503, BOSTON, MA 02241-3309
(617) 726-3884
(703) 563-6256
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN55587
ME
367500000X
Certified Registered Nurse Anesthetist
Primary
064106-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102274
—
NH
Enumeration date
08/24/2015
Last updated
09/30/2024
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