Carmen J Petrin, NP
Nurse Practitioner in Manchester, NH. Individual provider (NPI-1).
NPI number1619085446
StatusActive
Last updated in NPPESApr 9, 2021
Details
- NPI
- 1619085446
- Entity type
- Individual (NPI-1)
- Name
- Carmen J Petrin
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 29, 2006
- Certification date
- Apr 9, 2021
- Last updated
- Apr 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 03380-23-03 | NH | Yes |
Practice location
100 McGregor StManchester, NH 03102-3730
Phone 603-663-6657 · Fax 603-663-6111
Mailing address
100 McGregor StManchester, NH 03102-3730
Phone 603-663-6657 · Fax 603-663-6111
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