Basic Information
Provider Information
NPI: 1215033063
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AUBE
FirstName: MICHELLE
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: C.R.N.A.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 160
Address2: PATIENT FINANCIAL SERVICES
City: LITTLETON
State: NH
PostalCode: 03561
CountryCode: US
TelephoneNumber: 6032597627
FaxNumber: 6032597561
Practice Location
Address1: 600 ST. JOHNSBURY RD.
Address2:  
City: LITTLETON
State: NH
PostalCode: 03561
CountryCode: US
TelephoneNumber: 6034449000
FaxNumber: 6032282113
Other Information
ProviderEnumerationDate: 09/16/2006
LastUpdateDate: 08/21/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367500000X037256-23NHY Physician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered 

No ID Information.


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