Whalio Doctors

NPI 1124532379

Madison Tacker, LPN

Practitioner Licensed Practical Nurse Manchester, NH

Practice location

Address
3000 Goffs Falls Rd STE 101, Manchester, NH 03103-6109
Phone
(800) 995-2673
Fax
(800) 995-2673

Registered specialties (2)

Licensed Practical Nurse Primary
Nursing Service Providers Taxonomy 164W00000X Licence L058032 (AR)
Licensed Practical Nurse
Nursing Service Providers Taxonomy 164W00000X Licence 025.0133125 (VT)

Registry record

NPI
1124532379
Entity type
Individual
Sex (as registered)
Female
NPI issued
27 Nov 2017
Record last updated
27 Nov 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.