MARY A. BERUBE (NPI# 1194716076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194716076 |
| Entity Type | Individual |
| Full Name | MARY A. BERUBE |
| Credential | ARNP |
| Practice Address |
52 High St New Boston NH 03070-4027 |
| Practice Telephone | 6034873429 |
| Practice Fax Number | 6034872103 |
| Mailing Telephone | 6034873429 |
| Mailing Fax Number | 6034872103 |
| Enumeration Date | 2005-10-31 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
011346-23-05 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | TUFTS PIN | 011346 | 01 |
| NH | UHC PIN | 0408373 | 01 |
| NH | 30003642 | 05 | |
| NH | ANTHEM REFERRING UPIN | R74572 | 01 |
| NH | CIGNA PIN | 41816 | 01 |
| NH | HPHC PIN | AA6677 | 01 |
| Street Address |
52 HIGH ST |
| City | NEW BOSTON |
| State | NH |
| Zip Code | 03070-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649261512 | Elliot Physicians Network | Family Medicine | 52 High St, Elliot Family Medicine At New Boston, New Boston, NH 03070-4027 | 2005-10-31 |
| 1164787982 | Lauren Rose Brenner | Dentist | 52 High St, New Boston, NH 03070-4027 | 2012-07-09 |
| 1255694378 | Maria Theresa Boylan | Family Medicine | 52 High St, Elliot Famiy Medicine At New Boston, New Boston, NH 03070-4027 | 2012-06-22 |
| 1447403316 | Jenny Lynn Scholl | Nurse Practitioner | 52 High St, New Boston, NH 03070-4027 | 2008-10-23 |
| 1417096140 | Ronald C Brenner | Dentist | 52 High St, New Boston, NH 03070-4027 | 2007-02-06 |
| 1881618189 | Audrey Louise Elliott | Dentist | 52 High St, New Boston, NH 03070-4027 | 2006-07-27 |
| 1609890649 | Ronald C. Brenner | Dentist | 52 High St, New Boston, NH 03070-4027 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447885868 | Kathleen Regan | Counselor | 79 Mt Vernon Road, New Boston, NH 03070 | 2020-03-05 |
| 1992350706 | Rose Meadow Garden, Inc. | Custodial Care Facility | 336 Bedford Road, New Boston, NH 03070 | 2019-08-08 |
| 1265914618 | Ann Berthiaume | Social Worker | 12 Indian Falls Road, New Boston, NH 03070 | 2018-09-02 |
| 1437653987 | Karen O'donnell | Registered Nurse | 117 Bedford Road, 6033050841, New Boston, NH 03070 | 2018-03-20 |
| 1851431563 | Jeffrey Marc Weil | Dentist | 240 Park Avenue, Rutherford, NJ 03070 | 2007-02-08 |
| 1285608950 | Khalil F. Shahin | Family Medicine | 52 High Street, New Boston, NH 03070 | 2006-02-17 |
| 1417404138 | Margaret Donovan | Physical Therapist | 12 W Lull Pl, New Boston, NH 03070-3521 | 2016-09-10 |
| 1558732263 | Diane Sniegoski Dana | Speech-Language Pathologist | 45 Tucker Mill Rd, New Boston, NH 03070-3602 | 2015-10-08 |
| 1346883550 | Victoria Baker | Behavior Technician | 104 River Rd, New Boston, NH 03070-3741 | 2019-10-21 |
| 1689600652 | John Edward Alexander | Radiology | 53 Gregg Mill Rd, New Boston, NH 03070-3746 | 2006-06-23 |
| Find all providers in zip 03070 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194172981 | Moya Tara Talley | Nurse Practitioner | 25140 Austin Dr, New Boston, MI 48164-8907 | 2016-05-21 |
| 1932578200 | Jamie Linda Martin | Nurse Practitioner | 3899 Tx Hwy-98, New Boston, TX 75570 | 2015-09-17 |
| 1720473465 | Tina Cunningham | Nurse Practitioner | 1555 County Road 1102, New Boston, TX 75570-7575 | 2015-03-31 |
| 1386992923 | Sara Marie Mccullough | Nurse Practitioner | 3879 Rhodes Ave, New Boston, OH 45662 | 2012-08-28 |
| 1023166295 | Gail Vanark | Nurse Practitioner | 82 Carriage Rd, New Boston, NH 03070-5137 | 2007-01-06 |
| 1437115805 | Mary P Stanley | Nurse Practitioner | 910 James Bowie Dr, New Boston, TX 75570-2335 | 2006-04-25 |
| 1235126467 | Deborah S Flournoy | Nurse Practitioner | 304 W Us Highway 82, New Boston, TX 75570-2528 | 2005-10-03 |
| 1083616080 | Paul A Smith | Nurse Practitioner | 128 N Ellis St, New Boston, TX 75570-2904 | 2005-08-10 |
| 1649890500 | Kaleigh Cheyenne Cline | Nurse Practitioner | 3879 Rhodes Ave, New Boston, OH 45662-6002 | 2020-04-21 |
| 1508336470 | Christina Wade | Nurse Practitioner | 310 E Hoskins St, New Boston, TX 75570-2727 | 2018-12-04 |
| Find all providers in NEW BOSTON | ||||
| City | NEW BOSTON |
| Zip Code | 03070 |
Please comment or provide details below to improve the information on MARY A. BERUBE.
| 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.