MS. ELLEN MARY MCKINNON NURSE PRACTITIONER NPI 1336221795

NPI Information

NPI: 1336221795
Provider Name: MS. ELLEN MARY MCKINNON, NURSE PRACTITIONER
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

PECOS Registration: Yes

Address:
1 MEDICAL CENTER DR
DHMC GENERAL SURGERY
LEBANON, NH
ZIP 03756
Phone: (603) 650-8022
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MS. Ellen Mary Mckinnon, NURSE PRACTITIONER is an acute care nurse practitioner in Lebanon, NH with 22 years of experience. MS. Ellen Mary Mckinnon, NURSE PRACTITIONER NPI is 1336221795. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1 MEDICAL CENTER DR
DHMC GENERAL SURGERY
LEBANON, NH
ZIP 03756-000
Phone: (603) 650-8022

The NPI 1336221795 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/19/2006 and was last updated on 7/16/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2100X	Nurse Practitioner	Acute Care	032812-23-12	NEW HAMPSHIRE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1009685	MEDICAID	VERMONT
2	NP4140	MEDICARE ID-TYPE UNSPECIFIED	NEW HAMPSHIRE
3	P86550	MEDICARE UPIN	NEW HAMPSHIRE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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