Doctor Name: | JANICE J MICHAUD |
NPI Number: | 1003875162 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPNP |
License Number: | 0359282302 |
Business Practice Address: | 9 Buzell Ave Exeter, NH - 038332520 |
Business Phone Number: | 6037728900 |
Business Fax Number: | 6037720468 |
Mailing Address: | Po Box 655, EXETER |
State: | NH |
Postal Code: | 038330655 |
Phone Number: | 6037728900 |
Fax Number: | 6037720468 |
NPI Enumeration Date: | 03/18/2006 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 0359282302 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |