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NPI Code Detail

MEDICARE: KATELYN BUCHHOLZ FNP-C

MEDICARE: KATELYN BUCHHOLZ FNP-C
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
1363LF0000XFamily Nurse Practitioner074118-23NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538627815
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATELYN BUCHHOLZ FNP-C
Provider Business Mailing Address
First Line : 360 US HIGHWAY 1 BYP UNIT 102
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7105
Country : US
Telephone Number : 603-410-6700
Fax Number : 603-309-9601
Provider Business Practice Location Address
First Line : 1600 WOODBURY AVE
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-3250
Country : US
Telephone Number : 603-602-9070
Fax Number : 603-810-6881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2019
Last Update Date : 04/06/2026

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