| Organization Name: | ADVANCED NURSE PRACTITIONER SERVICES, LLC |
| NPI Number: | 1629390935 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUELLEN DRAKE (OWNER) |
| Mailing Address: | 103 First Nh Tpke Northwood |
| State: | NH US |
| Postal Code: | 032613503 |
| Phone Number: | 6039425694 |
| Fax Number: | 6039428194 |
| NPI Enumeration Date: | 02/28/2010 |
| NPI Last Update Date: | 07/07/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 04081123 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NH |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |