Individual
KAYLIE BARBARA GRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
093378-23
NH
363LF0000X
Family Nurse Practitioner
F07220044
PA
Other
Enumeration date
03/13/2024
Last updated
04/01/2024
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