CAROLYN M COUGHLAN (NPI# 1750638482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750638482 |
| Entity Type | Individual |
| Full Name | CAROLYN M COUGHLAN |
| Other Name | CAROLYN VIVEIROS |
| Credential | APRN |
| Practice Address |
25 Buttrick Rd Bldg E Londonderry NH 03053-3352 |
| Practice Telephone | 6034371003 |
| Practice Fax Number | 6034210868 |
| Mailing Telephone | (603) 437-1003 |
| Mailing Fax Number | 6034210868 |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2017-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
066702-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
25 BUTTRICK RD BLDG E |
| City | LONDONDERRY |
| State | NH |
| Zip Code | 03053-3352 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376142380 | Convenientmd LLC | Clinic/Center | 42 Nashua Road, Londonderry, NH 03053 | 2020-10-21 |
| 1053893867 | Orthotics In Motion LLC | Prosthetic/Orthotic Supplier | 136 Harvey Rd, Suite A105, Londonderry, NH 03053 | 2018-08-29 |
| 1093260754 | Mary Dube | Counselor | 50 Nashua Rd., Suite 205, Londonderry, NH 03053 | 2016-08-23 |
| 1619325990 | Darin Gray | Physician Assistant | 75 Gilcrest Road, Unit 100, Londonderry, NH 03053 | 2016-05-27 |
| 1427427574 | Valerie Jean Mazzola | Social Worker | 3 Nutfield Drive, Londonderry, NH 03053 | 2015-09-18 |
| 1609244789 | Bresnahan & Ball Counseling Services | Counselor | 1 B Commons Drive Suite 7, Londonderry, NH 03053 | 2015-09-08 |
| 1780068098 | Paul Timothy Hellings | Orthotist | 136 Harvey Rd Ste A105, Londonderry, NH 03053 | 2015-07-16 |
| 1962805960 | Liani Perez | Social Worker | 5 Picadilly Circle, Londonderry, NH 03053 | 2014-10-03 |
| 1871921007 | Debra Ann Champa | Physical Therapy Assistant | 1 Cardinal Circle, Londonderry, NH 03053 | 2013-10-25 |
| 1649523655 | Granite Strategic Transportation | Private Vehicle | 1 Nashua Road, 26, Londonderry, NH 03053 | 2012-10-16 |
| Find all providers in zip 03053 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861946766 | We Care Pediatrics | Clinical Nurse Specialist | 25 Pelham Rd, Suite 103, Salem, NH 03079-4851 | 2016-08-09 |
| City | LONDONDERRY |
| Zip Code | 03053 |
Please comment or provide details below to improve the information on CAROLYN M COUGHLAN.
| 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.