Individual
MARY A. VIGEANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3073 WHITE MOUNTAIN HWY, NORTH CONWAY, NH 03860-5111
(603) 356-5461
Mailing address
PO BOX 5001, NORTH CONWAY, NH 03860-5001
(603) 356-5461
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0493542305
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343032
—
NH
Enumeration date
01/07/2006
Last updated
07/08/2007
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