Individual
CHARLOTTE GREGG FEDEROWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
449 AMHERST ST, NASHUA, NH 03063-1209
(603) 401-4884
Mailing address
3216 KNAPP RD, VESTAL, NY 13850-3015
(607) 222-0128
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
090005-23
NH
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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