Individual
NICOLE MAHER-WHITESIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 TWELFTH ST, BERLIN, NH 03570-3860
(603) 752-7404
Mailing address
87 WASHINGTON ST, CONWAY, NH 03818-6044
(603) 447-3347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
186
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
739
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30347179
—
NH
Enumeration date
05/15/2007
Last updated
03/17/2018
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