Healthcare Provider Details

I. General information

NPI: 1871706747
Provider Name (Legal Business Name): ELIZABETH FAY PALMER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ALUMNI DR
EXETER NH
03833
US

IV. Provider business mailing address

5 DEERFIELD RD
NOTTINGHAM NH
03290-4907
US

V. Phone/Fax

Practice location:
  • Phone: 603-778-7311
  • Fax:
Mailing address:
  • Phone: 603-679-1700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number03927723-03
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: