Individual
IAN M SAMUELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-C
Contact information
Practice address
1 HAMPTON RD UNIT 200, EXETER, NH 03833-2995
(603) 775-7575
Mailing address
1 HAMPTON RD UNIT 200, EXETER, NH 03833-2995
(603) 775-7575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
084420-23
NH
Other
Enumeration date
07/25/2023
Last updated
08/26/2024
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