IndividualActive
Alex Mutuku
NPI 1073114674 · Gerontology Nurse Practitioner · Bedford, NH
Provider details
- NPI number
- 1073114674
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 072247-23 (NH)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
188 Nh 101
Bedford, NH 03110-5451
Phone: (603) 314-4700
Approximate (ZIP-level) locationGet directions
Mailing address
188 Nh 101
Bedford, NH 03110-5451
Registry dates
- Enumerated
- 2020-11-02
- Last updated
- 2022-05-04
- Certified
- 2022-05-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.