Healthcare Provider Details

I. General information

NPI: 1033209002
Provider Name (Legal Business Name): MADGE E. BUUS-FRANK RNC, MS, APRN-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2006
Last Update Date: 11/14/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL CENTER DR
LEBANON NH
03756-1000
US

IV. Provider business mailing address

1 MEDICAL CENTER DR
LEBANON NH
03756-1000
US

V. Phone/Fax

Practice location:
  • Phone: 603-650-7256
  • Fax:
Mailing address:
  • Phone: 603-650-7256
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number03977-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: