Individual
MAILAJA MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
29 NORTHWEST BLVD, NASHUA, NH 03063-4068
(603) 577-2273
Mailing address
PO BOX 3677, NASHUA, NH 03061-3677
(603) 577-7900
(603) 577-7972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
058712-23
NH
363LF0000X
Family Nurse Practitioner
RN276386
MA
Other
Enumeration date
01/11/2017
Last updated
02/10/2017
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