Alicia F Mudgett, | |
1857 White Mountain Hwy, North Conway, NH 03860-5158 | |
(603) 730-5356 | |
(603) 730-5477 |
Full Name | Alicia F Mudgett |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1857 White Mountain Hwy, North Conway, New Hampshire |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801464342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 0573 (New Hampshire) | Primary |
Provider Name | White Mountain Community Health Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1659470383 PECOS PAC ID: 3870480304 Enrollment ID: O20040301000640 |
Provider Name | Cranmore Health Partners, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1194364083 PECOS PAC ID: 3971933029 Enrollment ID: O20200414001261 |
Mailing Address | Practice Location Address |
---|---|
Alicia F Mudgett, Po Box 354, Chocorua, NH 03817-0354 Ph: (207) 604-0360 | Alicia F Mudgett, 1857 White Mountain Hwy, North Conway, NH 03860-5158 Ph: (603) 730-5356 |
Brenda M. Mckay, RD Dietitian Medicare: Medicare Enrolled Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5461 | |
Nourishing Nh, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 64 Kearsarge Road, North Conway, NH 03860 Phone: 781-254-4230 | |
Barbara Smith, MS, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3073 White Mountain Hwy, North Conway, NH 03860 Phone: 603-356-5472 |