MICHELLE REEDENAUER (NPI# 1891342861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891342861 |
| Entity Type | Individual |
| Full Name | MICHELLE REEDENAUER |
| Credential | APRN |
| Practice Address |
22 Strafford St Laconia NH 03246-4701 |
| Mailing Address |
320 South St Concord NH 03301-2600 |
| Practice Telephone | 6033661070 |
| Mailing Telephone | 8575230789 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
06548423 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
22 STRAFFORD ST |
| City | LACONIA |
| State | NH |
| Zip Code | 03246-4701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746303 | Richard M Young | Nurse Practitioner | 22 Strafford St, Laconia, NH 03246-4701 | 2006-03-31 |
| 1760932735 | David Ferruolo | Counselor | 22 Strafford St, Laconia, NH 03246-4701 | 2016-10-13 |
| 1477924199 | Hannah Stutts | Nurse Practitioner | 22 Strafford St, Laconia, NH 03246-4701 | 2015-10-08 |
| 1275954166 | Russell Allen Howard | Nurse Practitioner | 22 Strafford St, Laconia, NH 03246-4701 | 2013-12-19 |
| 1093080707 | Healthfirst Family Care Center, Inc. | Clinic/Center | 22 Strafford St, Laconia, NH 03246-4701 | 2012-03-13 |
| 1487831376 | Bassem Azkul | Family Medicine | 22 Strafford St, Laconia, NH 03246-4701 | 2008-01-23 |
| 1760426548 | Laura L Zakorchemny | Nurse Practitioner | 22 Strafford St, Laconia, NH 03246-4701 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417495391 | Leslie A Gray | Counselor | 85 Fenton Ave, Laconia, NH 03246 | 2017-02-10 |
| 1649726399 | Purvi Patel | Pharmacist | 1381 Lakeshore Rd, Gilford, NH 03246 | 2016-08-31 |
| 1619246683 | Krista Martin | Occupational Therapist | 30 County Drive, Belknap County Nursing Home, Laconia, NH 03246 | 2011-12-21 |
| 1073891057 | Amjad Farah | Internal Medicine | 85 Spring St Ste 2a1, Laconia, NH 03246 | 2011-07-25 |
| 1386935641 | Jacqueline Leigh Berg | Marriage & Family Therapist | 585 Union Ave, #7a, Laconia, NH 03246 | 2011-04-21 |
| 1689903007 | Berwick Family Health Center LLC | Family Medicine | 36 Endicott, Laconia, NH 03246 | 2009-12-14 |
| 1083856850 | Maryclaire Paicopolis Md PC | Internal Medicine | 451 Belknap Mountain Rd, Gilford, NH 03246 | 2009-03-25 |
| 1013156157 | Rodney Ed Baker | Counselor | 771 N Main Street, Laconia, NH 03246 | 2009-02-12 |
| 1902062979 | Edith J Gault | Social Worker | 67 Communications Way, Laconia, NH 03246 | 2008-07-30 |
| 1003029091 | Susan Eve Kelly | Occupational Therapist | 79 Blueberry La, Laconia, NH 03246 | 2007-05-07 |
| Find all providers in zip 03246 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746303 | Richard M Young | Nurse Practitioner | 22 Strafford St, Laconia, NH 03246-4701 | 2006-03-31 |
| 1821084823 | Nancy Elizabeth Dirubbo | Nurse Practitioner | 501 Union Ave, Laconia, NH 03246-2817 | 2005-09-25 |
| 1861919318 | Samantha Downes | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2017-08-25 |
| 1871037218 | Stacy Casella | Nurse Practitioner | 85 Spring St, Laconia, NH 03246-3113 | 2016-12-05 |
| 1265824148 | Paul R Brassard | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2015-03-02 |
| 1710395652 | Tricia J Keville | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2014-07-23 |
| 1326453390 | Patricia A Doherty | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2014-06-27 |
| 1942623699 | Carolyn Brown | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2014-01-31 |
| 1275954166 | Russell Allen Howard | Nurse Practitioner | 22 Strafford St, Laconia, NH 03246-4701 | 2013-12-19 |
| 1669814810 | Irina A Yurkova | Nurse Practitioner | 80 Highland St, Laconia, NH 03246-3235 | 2013-07-29 |
| Find all providers in LACONIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.