Individual
ALLYSON LEE FANJOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, AGNP
Contact information
Practice address
138 WEBSTER ST, MANCHESTER, NH 03104-1104
Mailing address
ELLIOT SENIOR HEALTH CENTER, 138 WEBSTER ST, MANCHESTER, NH 03104
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
076598-23
NH
Other
Enumeration date
03/07/2023
Last updated
04/02/2024
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