Healthcare Provider Details

I. General information

NPI: 1134165889
Provider Name (Legal Business Name): KATHERINE R AFFLECK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 CALEF HWY
EPPING NH
03042-2322
US

IV. Provider business mailing address

4 ALUMNI DR
EXETER NH
03833-2118
US

V. Phone/Fax

Practice location:
  • Phone: 603-693-2100
  • Fax: 603-679-1046
Mailing address:
  • Phone: 603-693-2100
  • Fax: 603-679-1046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number057151-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number057151-23
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP81778
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: