Mary Shupe, | |
58 Hawthorne Dr, Bedford, NH 03110-6912 | |
(603) 622-8619 | |
Not Available |
Full Name | Mary Shupe |
---|---|
Gender | Female |
Speciality | Registered Nurse - Pediatrics |
Location | 58 Hawthorne Dr, Bedford, 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 |
---|---|---|---|
1487830295 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0200X | Registered Nurse - Pediatrics | 231472 (Massachusetts) | Secondary |
163WP0200X | Registered Nurse - Pediatrics | 062997-23 (New Hampshire) | Primary |
Entity Name | Mary Hitchcock Memorial Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023092053 PECOS PAC ID: 4486561164 Enrollment ID: O20031126000258 |
Entity Name | Dartmouth-hitchcock Clinic |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548210198 PECOS PAC ID: 4183537509 Enrollment ID: O20040809000442 |
Mailing Address | Practice Location Address |
---|---|
Mary Shupe, 58 Hawthorne Dr, Bedford, NH 03110-6912 Ph: (603) 622-8619 | Mary Shupe, 58 Hawthorne Dr, Bedford, NH 03110-6912 Ph: (603) 622-8619 |
Cristy Anne Robertson, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1 S River Rd, Bedford, NH 03110 Phone: 603-644-1275 | |
Jaclene Raymond, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 160 S River Rd Ste 100, Bedford, NH 03110 Phone: 603-647-0494 Fax: 603-647-0493 | |
Juliana Stiegele Pires, PMHNP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 10 Chestnut Dr Unit M, Bedford, NH 03110 Phone: 617-600-4506 | |
Caitlin L Farrar, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 25 Ridgewood Rd, Bedford, NH 03110 Phone: 603-623-8805 | |
Christine Christophersen, APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 25 Leavey Dr, Bedford, NH 03110 Phone: 603-663-3740 | |
Lisa M Williams, RN APRN Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 10 Chestnut Dr Unit M, Bedford, NH 03110 Phone: 603-785-7526 Fax: 603-580-5953 | |
Jeanne M Hoskins, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 5 Washington Pl, Bedford, NH 03110 Phone: 603-695-2790 Fax: 603-629-1785 |