Individual
CASSANDRA LYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18 ROBERTS RD, CANAAN, NH 03741-7644
(603) 934-1464
Mailing address
9 HANOVER ST STE 2, LEBANON, NH 03766-1312
(603) 448-0126
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
073453-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077550
—
NH
Enumeration date
08/09/2016
Last updated
09/10/2024
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