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15 Town West Rd, Plymouth, NH 03264-3428 | |
(603) 536-5885 | |
(603) 238-9278 |
Full Name | |
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Type | Facility |
Speciality | General Practice |
Location | 15 Town West Rd, Plymouth, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1689318420 | NPI | - | NPPES |
Provider Name | Heather M Grenon |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1396201380 PECOS PAC ID: 6800138389 Enrollment ID: I20190502001732 |
Mailing Address | Practice Location Address |
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15 Town West Rd, Plymouth, NH 03264-3428 Ph: (603) 536-5885 | 15 Town West Rd, Plymouth, NH 03264-3428 Ph: (603) 536-5885 |