Individual provider · Type 1 NPI

Stephanie Nicole Condodemetraky, ARNP

Nurse Practitioner · Manchester, NH

NPI number 1295976777 Active

Practice location

775 S. Main St., Manchester Medical Group
Manchester, NH 03102-5143

Fax (603) 663-7333

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X055471-21 (NH)
Nurse Practitioner Primary 363L00000X055471-23 (NH)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1295976777

Stephanie Nicole Condodemetraky, ARNP's National Provider Identifier is 1295976777, issued on Mar 13, 2009. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Manchester, NH. The record was last updated on Apr 9, 2021.