Individual
MARY BETH SPAINHOWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2832
Mailing address
PO BOX 412503, BOSTON, MA 02241-6003
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
040842 23 05
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30343383
—
NH
01
—
40Y007570NH01
ANTHEM BL CROSS
—
01
—
425830099
MAINE MEDICAID
ME
01
—
5092058
CIGNA
—
01
—
AA 18639
HARVARD PILGRIM
—
Enumeration date
12/30/2005
Last updated
09/29/2023
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