Provider Demographics
NPI:1265782114
Name:MCHOSE, MARIAH (APRN)
Entity type:Individual
Prefix:
First Name:MARIAH
Middle Name:
Last Name:MCHOSE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 PAINE RD
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:NH
Mailing Address - Zip Code:03580-5401
Mailing Address - Country:US
Mailing Address - Phone:603-616-7026
Mailing Address - Fax:
Practice Address - Street 1:103 SWIFTWATER ROAD
Practice Address - Street 2:
Practice Address - City:WOODSVILLE
Practice Address - State:NH
Practice Address - Zip Code:03785
Practice Address - Country:US
Practice Address - Phone:603-747-2900
Practice Address - Fax:603-747-9716
Is Sole Proprietor?:No
Enumeration Date:2012-09-18
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH055115-21163W00000X
NH055115-23363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse