Individual
DONNA MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
170 COMMERCE WAY STE 103, PORTSMOUTH, NH 03801-3272
(603) 897-5485
Mailing address
480 MONT VERNON RD., NEW BOSTON, NH 03070
(603) 897-5485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
039386-23-03
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009982
—
NH
01
—
NP0841
MEDICARE PTAN
—
Enumeration date
09/16/2006
Last updated
01/05/2016
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