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Contact Information

MARY LYNN FAHEY, ARNP
1 PORTSMOUTH AVE
STRATHAM, NH03885-2585
 Phone: 603-943-3600
 Fax: 603-630-1009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARY LYNN FAHEY · (Female)

NPI Number 1750386389
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 06/20/2005
Last updated 11/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MA License # RN203678
  • NH License # 027443-23-03
  • NH Medicaid 30008013
  • NH Other 2305915YPNH01 ANTHEM BCBS
  • NH Other 213938 CIGNA
  • NH Other 7576040-004 CIGNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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