Provider Demographics
NPI:1245780345
Name:CLARE, SUSANNE CATHERINE (NP-C)
Entity Type:Individual
Prefix:
First Name:SUSANNE
Middle Name:CATHERINE
Last Name:CLARE
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HAMPTON RD UNIT 301
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4856
Mailing Address - Country:US
Mailing Address - Phone:603-583-4603
Mailing Address - Fax:
Practice Address - Street 1:1 HAMPTON RD UNIT 301
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-4856
Practice Address - Country:US
Practice Address - Phone:603-583-4603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-12
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH079119-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty