Healthcare Provider Details

I. General information

NPI: 1336392588
Provider Name (Legal Business Name): BRIGETTE ANDREWS CAMERON APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/01/2008
Last Update Date: 12/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 OLD ETNA ROAD DHMC, DEPARTMENT OF FAMILY MEDICINE
LEBANON NH
03766
US

IV. Provider business mailing address

1 MEDICAL CENTER DR DHMC, DEPARTMENT OF FAMILY MEDICINE
LEBANON NH
03756-1000
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-4000
  • Fax: 603-650-4190
Mailing address:
  • Phone: 603-650-4000
  • Fax: 603-650-4190

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number060478-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: