Provider Demographics
NPI:1922438944
Name:AHERN, KATELYN J (APRN)
Entity Type:Individual
Prefix:
First Name:KATELYN
Middle Name:J
Last Name:AHERN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATELYN
Other - Middle Name:J
Other - Last Name:HUSBAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:590 COURT STREET
Mailing Address - Street 2:DARTMOUTH HITCHCOCK -FAMILY MEDICINE
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431
Mailing Address - Country:US
Mailing Address - Phone:603-354-5400
Mailing Address - Fax:
Practice Address - Street 1:590 COURT STREET
Practice Address - Street 2:DARTMOUTH HITCHCOCK -FAMILY MEDICINE
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431
Practice Address - Country:US
Practice Address - Phone:603-354-5400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH057870-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily