Provider Demographics
NPI:1982763447
Name:MCNAMEE, SUSAN L (ARNP)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:L
Last Name:MCNAMEE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 MAIN ST
Mailing Address - Street 2:SUITE410
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2919
Mailing Address - Country:US
Mailing Address - Phone:603-595-7388
Mailing Address - Fax:603-595-8624
Practice Address - Street 1:280 MAIN ST
Practice Address - Street 2:SUITE 410
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2919
Practice Address - Country:US
Practice Address - Phone:603-595-7388
Practice Address - Fax:603-595-8624
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0246202302363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30008313Medicaid
NHS50102Medicare UPIN
NHNP0923Medicare ID - Type Unspecified