Integrative Health & Wellness Clinic
Organization Active NPI Family Nurse Practitioner · Dublin, NH
NPI 1114536877 · NPPES record last updated Nov 2, 2020
Key facts
- NPI
- 1114536877
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- INTEGRATIVE HEALTH & WELLNESS CLINIC
- Practice address
- 1283 Main St Unit 6C
Dublin, NH 03444-8242 - Phone
- (603) 831-1191
- Fax
- (833) 924-0345
- NPI assigned
- Jul 29, 2020
- Organization subpart
- No
Authorized official
- Name
- Marylou Cassidy, APRN
- Title
- Owner/Manager
- Phone
- (603) 831-1191
Practitioners 1
-
Marylou Cassidy, APRN
National Provider Directory
Locations
1283 Main St
Unit 6C
Dublin, NH 03444
Phone (603) 831-1191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
1283 Main St Unit 6C
Dublin, NH 03444-8242
Mailing address
48 North Rd
Hancock, NH 03449-5508
Phone (603) 831-1911
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114536877 | Medicaid | NH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Dublin |
Other providers in Dublin, NH
- Marylou Cassidy
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- Ross Whitney Davidson
- Ross A Garofalo
- Granite Counseling and Psychological Services, LLC
- Lauren Marcoullier
- Montshire Dublin PC
- New Hampshire Detox and Rehab
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- James A Poulette Jr.
All providers in Dublin, NH · Family Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.