Basic Information
| Provider Information | |||||||||
| NPI: | 1679084321 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAYMOND | ||||||||
| FirstName: | BRITTANY | ||||||||
| MiddleName: | LYNN | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5 WASHINGTON PLACE | ||||||||
| Address2: | OBSTETRICS & GYNECOLOGY | ||||||||
| City: | BEDFORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036952900 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5 WASHINGTON PLACE | ||||||||
| Address2: | OBSTETRICS & GYNECOLOGY | ||||||||
| City: | BEDFORD | ||||||||
| State: | NH | ||||||||
| PostalCode: | 03110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6036952900 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/21/2017 | ||||||||
| LastUpdateDate: | 03/01/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LW0102X | 068238-23 | NH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Women's Health |
ID Information
| ID | Type | State | Issuer | Description | 3111382 | 05 | NH | MEDICAID |