Healthcare Provider Details

I. General information

NPI: 1417873506
Provider Name (Legal Business Name): AINSLEIGH BURMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

48 E BROADWAY
DERRY NH
03038-2422
US

IV. Provider business mailing address

613 MERRIMACK ST
MANCHESTER NH
03103-3425
US

V. Phone/Fax

Practice location:
  • Phone: 603-434-2600
  • Fax:
Mailing address:
  • Phone: 603-722-8114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberR2593
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: