Provider Demographics
NPI:1689257248
Name:DUREN, NANCY MAUDE
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:MAUDE
Last Name:DUREN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:167 DANIEL WEBSTER HWY
Mailing Address - Street 2:
Mailing Address - City:CENTER HARBOR
Mailing Address - State:NH
Mailing Address - Zip Code:03226-3212
Mailing Address - Country:US
Mailing Address - Phone:603-279-7990
Mailing Address - Fax:
Practice Address - Street 1:167 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:CENTER HARBOR
Practice Address - State:NH
Practice Address - Zip Code:03226-3212
Practice Address - Country:US
Practice Address - Phone:603-279-7990
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-03
Last Update Date:2021-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty