Healthcare Provider Details

I. General information

NPI: 1447619481
Provider Name (Legal Business Name): SAMANTHA G. ADINOLFO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SAMANTHA G. SFAMENI

II. Dates (important events)

Enumeration Date: 02/18/2016
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1
CONCORD NH
03301-5046
US

IV. Provider business mailing address

246 PLEASANT STREET MEMORIAL BUILDING, WEST, FLOOR 1
CONCORD NH
03301-5046
US

V. Phone/Fax

Practice location:
  • Phone: 603-228-1111
  • Fax: 603-226-4314
Mailing address:
  • Phone: 603-228-1111
  • Fax: 603-226-4314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number066008-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number066008-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: