Organization
CHANGE WITH MORE EASE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FORD PMHNP (NURSE PRACTITIONER)
(603) 667-6743
Entity
Organization
Contact information
Practice address
20 W PARK ST STE 420, LEBANON, NH 03766-1322
(603) 667-6743
(866) 309-2937
Mailing address
329 MURRAY HILL DR, MONTPELIER, VT 05602-4216
(603) 667-6743
(866) 309-2937
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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