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Organization

CHERYL DOUCETTE ANP BC PMHCNS BC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHERYL ANN DOUCETTE (OWNER, MANAGER)
(603) 728-8872
Entity
Organization

Contact information

Practice address
21 MOUNTAIN PARK DRIVE, WOODSTOCK, NH 03262-0005
(603) 728-8872
(603) 745-7089
Mailing address
PO BOX 5, NORTH WOODSTOCK, NH 03262-0005
(603) 728-8872
(603) 745-7089

Taxonomy

Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1316969611
PROVIDER NPI
Enumeration date
08/13/2024
Last updated
08/13/2024
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