Basic Information
Provider Information
NPI: 1689754244
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LENT
FirstName: ANN
MiddleName: K
NamePrefix:  
NameSuffix:  
Credential: ARNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 65
Address2: 137 TWIN BROOK RD
City: CHESTERFIELD
State: NH
PostalCode: 034430065
CountryCode: US
TelephoneNumber: 6033638405
FaxNumber:  
Practice Location
Address1: 590 COURT ST
Address2:  
City: KEENE
State: NH
PostalCode: 034311719
CountryCode: US
TelephoneNumber: 6033545454
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/17/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LW0102X029044-23-04NHY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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