Healthcare Provider Details

I. General information

NPI: 1538905823
Provider Name (Legal Business Name): MAGDALENA R KENTER FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 HIGH ST STE 201
HAMPTON NH
03842-2213
US

IV. Provider business mailing address

62 WASHINGTON ST
EXETER NH
03833-2020
US

V. Phone/Fax

Practice location:
  • Phone: 603-929-2137
  • Fax:
Mailing address:
  • Phone: 603-702-3358
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number085146-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number085146-23
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number085146-21
License Number StateNH
# 4
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number085146-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: