Fahey, Mary Lynn

Fahey, Mary Lynn is an individual health care provider with primary practice located at 1 Portsmouth Ave , Stratham NH 03885-2585. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fahey, Mary Lynn can be contacted via phone (603) 943-3600.

Contact Information

Primary practice address
1 Portsmouth Ave Stratham NH 03885-2585
Phone: (603) 943-3600
Fax: (603) 630-1009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 027443-23-03 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 027443-23-03 New Hampshire

Profile Details

NPI number 1750386389
LBN Legal business name Fahey, Mary Lynn
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2005
Last updated Dec 23rd, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750386389 NPPES
New Hampshire Other 2305915YPNH01 ANTHEM BCBS
New Hampshire Other 7576040-004 ANTHEM BCBS
New Hampshire Other 213938 ANTHEM BCBS
New Hampshire MEDICAID 30008013 ANTHEM BCBS

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