NYCOL CLOUGH (NPI# 1063011294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063011294 |
| Entity Type | Individual |
| Full Name | NYCOL CLOUGH |
| Credential | APRN |
| Practice Address |
100 Mcgregor St Manchester NH 03102-3770 |
| Mailing Address |
75 Peaselee Crossing Rd Newton NH 03858-3807 |
| Practice Telephone | 6036636070 |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
044927-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MCGREGOR ST |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03102-3770 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659375384 | William Kevin Sullivan | Dentist | 100 Mcgregor St, E-542, Manchester, NH 03102-3730 | 2005-06-10 |
| 1811594542 | Alexandra Stout | Occupational Therapist | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-10-06 |
| 1457970733 | James Mckenna Jr. | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-04-16 |
| 1760001002 | Kristin Nicole Wilmes | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-04-15 |
| 1063046191 | Michael Pierce | Nurse Anesthetist, Certified Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-02-27 |
| 1740820315 | Beth Violette | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1487294047 | Jeanne Bailey-clemans | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1902446461 | Bonnie D Ensinger | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3770 | 2020-01-13 |
| 1386284032 | Abby L Savard | Dietitian, Registered | 100 Mcgregor St, Manchester, NH 03102-3730 | 2020-01-10 |
| 1215573498 | Christina Teresa Holub | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3730 | 2019-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054249 | Aaa Home Health LLC | Home Health | 30 Greenview Drive Apt 33, Manchester, NH 03102 | 2020-08-20 |
| 1043790413 | Sabrina Bolianites | Family Medicine | 765 S Main St Ste 103, Manchester, NH 03102 | 2018-08-15 |
| 1184119869 | Allison Marie Doherty | Doula | 17 Davignon St, Manchester, NH 03102 | 2018-06-26 |
| 1215311345 | Families In Transition | Counselor | 307 Douglas St, Manchester, NH 03102 | 2015-07-18 |
| 1659626836 | Steven Allen Miller | Nurse Anesthetist, Certified Registered | 88 Mcgregor St Ste 303, Manchester, NH 03102 | 2012-07-13 |
| 1922381144 | Caroline Ilene Ball | Pharmacist | 227 South Main Street, Manchester, NH 03102 | 2011-09-23 |
| 1225343346 | Peter Rella | Pharmacist | 577 Mast Road, Manchester, NH 03102 | 2010-08-12 |
| 1528206042 | Michael E. Dobrowolski Od,pa | Optometrist | 395 So Main Street, Manchester, NH 03102 | 2009-01-22 |
| 1912153487 | Nilsa Marie Jimenez | Internal Medicine | 775 S Main Street, Queen City Medical Associates, Manchester, NH 03102 | 2008-08-14 |
| 1871758060 | Samuel Joffe | Internal Medicine | 100 Mcgregor St Fl B, Manchester, NH 03102 | 2008-07-28 |
| Find all providers in zip 03102 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639622962 | Joshua N Alderman | Nurse Practitioner | 353 Main St Ste 2, Manchester, CT 06040-4145 | 2016-08-03 |
| 1851992960 | Tina Mcguirk | Nurse Practitioner | 1 Highlander Way, Manchester, NH 03103-7403 | 2020-11-04 |
| 1679065684 | Stacy L Jones | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104 | 2018-06-05 |
| 1740785484 | Maria L Langley | Nurse Practitioner | 100 Hitchcock Way, Manchester, NH 03104-4125 | 2018-03-26 |
| 1073017224 | Stephanie Lynn Vagnier | Nurse Practitioner | 4175 Hanover Pike, Manchester, MD 21102-1454 | 2018-03-22 |
| 1386142057 | Karen Marie Boyd Cardoza | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3730 | 2018-01-29 |
| 1679086839 | Shannon Kelly Ward | Nurse Practitioner | 185 Queen City Ave, Manchester, NH 03101-7121 | 2017-11-09 |
| 1629592241 | Sarina Cochran | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3730 | 2017-07-26 |
| 1942721162 | Elizabeth Ashley Katsikides | Nurse Practitioner | 87 Mcgregor St, Manchester, NH 03102-3765 | 2017-06-28 |
| 1285185371 | Jessica L Fellman | Nurse Practitioner | 100 Mcgregor St, Manchester, NH 03102-3730 | 2016-10-24 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03102 |
Please comment or provide details below to improve the information on NYCOL CLOUGH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.