Healthcare Provider Details

I. General information

NPI: 1295067221
Provider Name (Legal Business Name): PAMELA ELAINE LORD-VOSHELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PAMELA ELAINE LORD NP

II. Dates (important events)

Enumeration Date: 02/01/2010
Last Update Date: 02/20/2020
Certification Date: 02/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 OLD ROLLINSFORD RD STE 204
DOVER NH
03820-2869
US

IV. Provider business mailing address

789 CENTRAL AVE
DOVER NH
03820-2526
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-7338
  • Fax:
Mailing address:
  • Phone: 603-692-6667
  • Fax: 603-692-0919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number079117-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: