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1568421006

NPI Code Detail

MEDICARE: JUDY A MISIASZEK APRN

MEDICARE: JUDY A MISIASZEK APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LA2200X	Adult Health Nurse Practitioner	027211-23-05	NH
2	363LA2200X	Adult Health Nurse Practitioner	92779	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	152212	OTHER	NH	CIGNA NEW HAMPSHIRE
3	7469782	OTHER	NH	AETNA PPO
4	1129363	OTHER	NH	AETNA HMO
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	NP4193	OTHER	MA	BCBS MASSACHUSETTS
7	7038239	OTHER	MA	CIGNA NATIONAL
8	23YP05046NH01	OTHER	NH	BCBS NEW HAMPSHIRE

General Provider Information

NPI Number	:	1568421006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDY A MISIASZEK APRN

Provider Business Mailing Address
First Line	:	80 ROUTE 125
Second Line	:
City	:	KINGSTON
State	:	NH
Zip	:	03848-3535
Country	:	US
Telephone Number	:	603-642-6700
Fax Number	:	603-642-6701

Provider Business Practice Location Address
First Line	:	80 ROUTE 125
Second Line	:
City	:	KINGSTON
State	:	NH
Zip	:	03848-3535
Country	:	US
Telephone Number	:	603-642-6700
Fax Number	:	603-642-6701

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/22/2006
Last Update Date	:	11/08/2011

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Directions to “ JUDY A MISIASZEK APRN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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