Basic Information
Provider Information
NPI: 1609894906
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POWERS
FirstName: MARIA
MiddleName: P
NamePrefix: MRS.
NameSuffix:  
Credential: A.R.N.P.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 590 COURT ST
Address2: DARTMOUTH HITCHCOCK - OCCUPATIONAL MEDICINE
City: KEENE
State: NH
PostalCode: 034311719
CountryCode: US
TelephoneNumber: 6033546534
FaxNumber:  
Practice Location
Address1: 590 COURT ST
Address2: DARTMOUTH HITCHCOCK - OCCUPATIONAL MEDICINE
City: KEENE
State: NH
PostalCode: 034311719
CountryCode: US
TelephoneNumber: 6033546534
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/17/2006
LastUpdateDate: 10/22/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LX0106X022456-23NHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerOccupational Health
363LW0102X022456-23NHN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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