Healthcare Provider Details

I. General information

NPI: 1215516885
Provider Name (Legal Business Name): ELIZABETH MORIN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/02/2021
Last Update Date: 06/30/2025
Certification Date: 06/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ALUMNI DR
EXETER NH
03833-2160
US

IV. Provider business mailing address

734 CHESTNUT ST
MANCHESTER NH
03104-3001
US

V. Phone/Fax

Practice location:
  • Phone: 603-778-7311
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number34334
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: