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NPI Code Detail

MEDICARE: MRS. ELLEN DENNEHY PA

MEDICARE: MRS. ELLEN DENNEHY PA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician Assistant2312MA
2363AM0700XMedical Physician Assistant1250NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1T400375874OTHERNHMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083804991
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELLEN DENNEHY PA
Provider Business Mailing Address
First Line : 240 S MAIN ST
Second Line :
City : WOLFEBORO
State : NH
Zip : 03894-4455
Country : US
Telephone Number : 603-569-7574
Fax Number : 603-569-7582
Provider Business Practice Location Address
First Line : 240 S MAIN ST
Second Line :
City : WOLFEBORO
State : NH
Zip : 03894-4455
Country : US
Telephone Number : 603-569-7574
Fax Number : 603-569-7582
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2007
Last Update Date : 02/21/2025

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Directions to “ MRS. ELLEN DENNEHY PA” Practice Location

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