Healthcare Provider Details

I. General information

NPI: 1851219216
Provider Name (Legal Business Name): AMBER TEREN IVES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2026
Last Update Date: 07/06/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 GREENWOOD AVE
CONWAY NH
03818-6130
US

IV. Provider business mailing address

7 GREENWOOD AVE
CONWAY NH
03818-6130
US

V. Phone/Fax

Practice location:
  • Phone: 603-447-3500
  • Fax: 603-447-5568
Mailing address:
  • Phone: 603-447-3500
  • Fax: 603-447-5568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11827623
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: