Healthcare Provider Details

I. General information

NPI: 1376412916
Provider Name (Legal Business Name): CHARLES JOSHUA ADLER APRN, FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 MEMBERS WAY
DOVER NH
03820-5933
US

IV. Provider business mailing address

10 MEMBERS WAY STE 203
DOVER NH
03820-5933
US

V. Phone/Fax

Practice location:
  • Phone: 603-609-6800
  • Fax:
Mailing address:
  • Phone: 603-742-3174
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number074147-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: