Individual
STACY CASELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 524-7402
Mailing address
85 SPRING ST, LACONIA, NH 03246-3113
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
058385-23
NH
Other
Enumeration date
12/05/2016
Last updated
09/09/2020
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