Active NPIIndividual provider

Mrs. Mary M Bacon, ARNP

Nurse Practitioner, Family in Pembroke, New Hampshire

NPI Number1245399930
Practice location
48 Glass St, Pembroke, NH 03275-1506
Fax
603-485-7799
Last updated
October 30, 2007

Mary Margarita Bacon is a Nurse Practitioner, Family based in Pembroke, NH. Mary Margarita Bacon practices in Pembroke, NH and has the professional credentials of ARNP. The NPI Number for Mary Margarita Bacon is 1245399930 and holds a License No. 038972-23-03 (NH). The current practice location address for Mary Margarita Bacon is 48 Glass St, Pembroke, NH 03275-1506 and can be reached out via phone at 603-485-7788 and via fax at 603-485-7799.

Provider Profile Details

NPI Number
1245399930
Provider Name
Mary Margarita Bacon
Credential
ARNP
Provider Entity Type
Individual
Gender
Female
Address
48 Glass St, Pembroke, NH 03275-1506
Phone Number
603-485-7788
Fax Number
603-485-7799
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
December 8, 2006
Last Update Date
October 30, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
48 Glass St
Pembroke, NH 03275-1506
Zip
03275-1506
Phone Number
603-485-7788
Fax Number
603-485-7799
Pembroke, NH 03275Get directions →

Provider Business Mailing Address Details

Address
62 Island Dr
Merrimack, NH 03054-4123
City
Merrimack
State
NH
Zip
03054-4123
Phone Number
603-206-4390

License Information

License Number
038972-23-03
License State
NH
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mary M Bacon, ARNP?

The NPI number of Mrs. Mary M Bacon, ARNP is 1245399930. It was assigned on December 8, 2006 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mary M Bacon, ARNP?

Mrs. Mary M Bacon, ARNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 038972-23-03.

Where does Mrs. Mary M Bacon, ARNP practice?

The practice location is 48 Glass St, Pembroke, NH 03275-1506. The office can be reached at 603-485-7788 (phone) or 603-485-7799 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245399930 directly on the NPPES registry website.

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