Carr, Mary Lou

Carr, Mary Lou is an individual health care provider with primary practice located at 333 Borthwick Ave , Portsmouth NH 03801-7128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Carr, Mary Lou can be contacted via phone (603) 436-5110.

Contact Information

Primary practice address
333 Borthwick Ave Portsmouth NH 03801-7128
Phone: (603) 436-5110
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 02469921 New Hampshire

Profile Details

NPI number 1417958737
LBN Legal business name Carr, Mary Lou
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated Jun 26th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417958737 NPPES
New Hampshire MEDICAID 80000025

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