Provider Demographics
NPI:1205869591
Name:QUIGLEY, MAUREEN T (APRN)
Entity type:Individual
Prefix:MS
First Name:MAUREEN
Middle Name:T
Last Name:QUIGLEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:GENERAL SURGERY CLINIC 4C
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-650-7913
Mailing Address - Fax:603-650-8030
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:GENERAL SURGERY CLINIC 4C
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-650-7913
Practice Address - Fax:603-650-8030
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2011-12-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH024607-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30341177Medicaid
VT0RE6048Medicaid
VT0RE6048Medicaid
NHRE604801Medicare PIN