Mary Susan Corliss, NP-C
Nurse Practitioner, Family in Concord, NH. Individual provider (NPI-1).
NPI number1124367602
StatusActive
Last updated in NPPESFeb 4, 2013
Details
- NPI
- 1124367602
- Entity type
- Individual (NPI-1)
- Name
- Mary Susan Corliss
- Credential
- NP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 4, 2013
- Last updated
- Feb 4, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 024092-23 | NH | Yes |
Practice location
246 Pleasant StConcord, NH 03301-2548
Phone 603-224-6070 · Fax 603-224-6094
Mailing address
246 Pleasant StConcord, NH 03301-2548
Phone 603-224-6070 · Fax 603-224-6094
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