Healthcare Provider Details

I. General information

NPI: 1033437892
Provider Name (Legal Business Name): PAULA JANE TROIE RPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2010
Last Update Date: 05/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

38 LOCKE RD
CONCORD NH
03301-5422
US

IV. Provider business mailing address

2 SAWMILL LN
AMHERST NH
03031-1947
US

V. Phone/Fax

Practice location:
  • Phone: 888-836-8930
  • Fax:
Mailing address:
  • Phone: 603-249-1696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number2967
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: