Healthcare Provider Details

I. General information

NPI: 1902162209
Provider Name (Legal Business Name): AMELIA H CURRIER PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2012
Last Update Date: 04/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 PLEASANT ST EMERGENCY DEPT
CONCORD NH
03301-7539
US

IV. Provider business mailing address

250 PLEASANT ST EMERGENCY DEPT
CONCORD NH
03301-7539
US

V. Phone/Fax

Practice location:
  • Phone: 603-227-7000
  • Fax: 603-230-7218
Mailing address:
  • Phone: 603-227-7000
  • Fax: 603-230-7218

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number0886
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: