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NPI Code Detail

MEDICARE: ANN G GENTILHOMME C.R.N.A.

MEDICARE: ANN G GENTILHOMME C.R.N.A.
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
1367500000XCertified Registered Nurse Anesthetist034789-23-11NH

General Provider Information

NPI Number : 1639275423
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN G GENTILHOMME C.R.N.A.
Provider Business Mailing Address
First Line : 501 SOUTH ST
Second Line : BOX 2
City : BOW
State : NH
Zip : 03304-3416
Country : US
Telephone Number : 603-224-4776
Fax Number : 603-228-2113
Provider Business Practice Location Address
First Line : 501 SOUTH ST
Second Line : BOX 2
City : BOW
State : NH
Zip : 03304-3416
Country : US
Telephone Number : 603-224-4776
Fax Number : 603-228-2113
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/08/2007

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