Stephanie N Condodemetraky, ARNP
Nurse Practitioner in Manchester, New Hampshire
1295976777- Practice location
- 775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143
- Phone
- 603-663-7300
- Fax
- 603-663-7333
- Last updated
- April 9, 2021
Stephanie Nicole Condodemetraky is a Nurse Practitioner based in Manchester, NH. Stephanie Nicole Condodemetraky practices in Manchester, NH and has the professional credentials of ARNP. The NPI Number for Stephanie Nicole Condodemetraky is 1295976777 and holds a License No. 055471-21 (NH). The current practice location address for Stephanie Nicole Condodemetraky is 775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143 and can be reached out via phone at 603-663-7300 and via fax at 603-663-7333.
Provider Profile Details
- NPI Number
- 1295976777
- Provider Name
- Stephanie Nicole Condodemetraky
- Credential
- ARNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143
- Phone Number
- 603-663-7300
- Fax Number
- 603-663-7333
- Primary Taxonomy
- Nurse Practitioner · 363L00000X
- Sole Proprietor
- No
- Other Names
- -- Stephanie Nicole Condodemetraky, RN (Professional Name)
- Provider Enumeration Date
- March 13, 2009
- Last Update Date
- April 9, 2021
- Certification Date
- April 9, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 775 S. Main St.
Manchester Medical Group
Manchester, NH 03102-5143 - City
- Manchester
- State
- New Hampshire
- Zip
- 03102-5143
- Phone Number
- 603-663-7300
- Fax Number
- 603-663-7333
Provider Business Mailing Address Details
- Address
- 775 S. Main St.
Manchester Medical Group
Manchester, NH 03102-5143 - City
- Manchester
- State
- NH
- Zip
- 03102-5143
- Phone Number
- 603-663-7300
- Fax Number
- 603-663-7333
License Information
- License Number (1)
- 055471-21
- License State (1)
- NH
- Taxonomy (1)
- Registered Nurse · 163W00000X
- License Number (2)
- 055471-23
- License State (2)
- NH
- Taxonomy (2)
- Nurse Practitioner · 363L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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- Amanda L CarterNurse Practitioner · NPI 1114626769
- Brandy N Hall, APRNNurse Practitioner · NPI 1609242429
- Caitlin Bova, APRNNurse Practitioner · NPI 1790206522
- Carmen J Petrin, NPNurse Practitioner · NPI 1619085446
Frequently Asked Questions
What is the NPI number of Stephanie N Condodemetraky, ARNP?
The NPI number of Stephanie N Condodemetraky, ARNP is 1295976777. It was assigned on March 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Stephanie N Condodemetraky, ARNP?
Stephanie N Condodemetraky, ARNP is registered under the primary taxonomy Nurse Practitioner (code 363L00000X), licensed in NH under license number 055471-21.
Where does Stephanie N Condodemetraky, ARNP practice?
The practice location is 775 S. Main St., Manchester Medical Group, Manchester, NH 03102-5143. The office can be reached at 603-663-7300 (phone) or 603-663-7333 (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 1295976777 directly on the NPPES registry website.