Healthcare Provider Details

I. General information

NPI: 1306857586
Provider Name (Legal Business Name): VICTORIA M MCGARRELL ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 04/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 ALUMNI DRIVE SUITE 401
EXETER NH
03833-2119
US

IV. Provider business mailing address

3 ALUMNI DRIVE SUITE 401
EXETER NH
03833-2119
US

V. Phone/Fax

Practice location:
  • Phone: 603-778-0557
  • Fax: 603-778-1669
Mailing address:
  • Phone: 603-778-0557
  • Fax: 603-778-1669

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number015909-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number015909-23
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code176B00000X
TaxonomyMidwife
License Number015909-23-1
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: