Healthcare Provider Details
I. General information
NPI: 1073897328
Provider Name (Legal Business Name): TENNEY HEALTH ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2011
Last Update Date: 01/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
251 ELM ST UNIT #3
CLAREMONT NH
03743-4940
US
IV. Provider business mailing address
251 ELM ST UNIT #3
CLAREMONT NH
03743-4940
US
V. Phone/Fax
- Phone: 603-542-8055
- Fax: 603-542-8066
- Phone: 603-542-8055
- Fax: 603-542-8066
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM1300X |
| Taxonomy | Multi-Specialty Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MEREDITH
HARTT
TENNEY
Title or Position: OWNER
Credential: C.N.M.
Phone: 603-542-8055