Individual
COREY ALLEN MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1 PILLSBURY ST, SUITE 202, CONCORD, NH 03301-3556
(603) 224-4776
(603) 228-2113
Mailing address
1 PILLSBURY ST, SUITE 202, CONCORD, NH 03301-3556
(603) 224-4776
(603) 228-2113
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA123058
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3100551
—
NH
Enumeration date
01/14/2013
Last updated
05/11/2015
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