Healthcare Provider Details

I. General information

NPI: 1619972296
Provider Name (Legal Business Name): NEWFOUND AREA NURSING ASSOCIATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2005
Last Update Date: 01/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

214 LAKE ST
BRISTOL NH
03222-3572
US

IV. Provider business mailing address

214 LAKE ST
BRISTOL NH
03222-3572
US

V. Phone/Fax

Practice location:
  • Phone: 603-744-2733
  • Fax: 603-744-9175
Mailing address:
  • Phone: 603-744-2733
  • Fax: 603-744-9175

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number01281
License Number StateNH

VIII. Authorized Official

Name: MS. JENNIFER A ROSENE
Title or Position: EXECUTIVE DIRECTOR
Credential: PT, MS
Phone: 603-744-2733