Doctor Name: | JUSTINE FIERMAN |
NPI Number: | 1134235856 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CRNP |
License Number: | TP005016B |
Business Practice Address: | 3073 White Mountain Hwy Memorial Hospital North Conway, NH - 038607101 |
Business Phone Number: | 6033564949 |
Business Fax Number: | |
Mailing Address: | 3073 White Mountain Hwy, Memorial Hospital NORTH CONWAY |
State: | NH |
Postal Code: | 038607101 |
Phone Number: | 6033564949 |
Fax Number: | |
NPI Enumeration Date: | 08/23/2006 |
NPI Last Update Date: | 06/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | TP005016B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |