Healthcare Provider Details

I. General information

NPI: 1154031292
Provider Name (Legal Business Name): SUMMER PAGE BELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2022
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PARKLAND DR
DERRY NH
03038-2746
US

IV. Provider business mailing address

39 KINGS CT
MANCHESTER NH
03103-5914
US

V. Phone/Fax

Practice location:
  • Phone: 603-432-1500
  • Fax:
Mailing address:
  • Phone: 413-364-9186
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number079388-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: