Doctor Name: | SUSAN M HOLLINGER |
NPI Number: | 1033166491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 0389442304 |
Business Practice Address: | 4 Birch St Derry, NH - 030382136 |
Business Phone Number: | 6034341354 |
Business Fax Number: | |
Mailing Address: | 6 Carriage Way, DURHAM |
State: | NH |
Postal Code: | 038244500 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | 0389442304 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |