Doctor Name: | MRS. AMBER MARIE CONWAY |
NPI Number: | 1508133505 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 053236-21 |
Business Practice Address: | 29 Rossdale Ln Weare, NH - 032815414 |
Business Phone Number: | 6032194375 |
Business Fax Number: | 8668437977 |
Mailing Address: | 29 Rossdale Ln, WEARE |
State: | NH |
Postal Code: | 032815414 |
Phone Number: | 6032194375 |
Fax Number: | 8668437977 |
NPI Enumeration Date: | 11/19/2011 |
NPI Last Update Date: | 11/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WN1003X |
License Number: | 053236-21 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Nutrition Support |
Taxonomy Definition: |