Healthcare Provider Details

I. General information

NPI: 1215127840
Provider Name (Legal Business Name): MARCIA ELAINE NELSON-VANCINI CNS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARCIA ELAINE VANCINI CNS NP

II. Dates (important events)

Enumeration Date: 07/30/2007
Last Update Date: 06/03/2024
Certification Date: 06/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

78 HICKORY RD
HAMPSTEAD NH
03841-2226
US

IV. Provider business mailing address

78 HICKORY RD
HAMPSTEAD NH
03841-2226
US

V. Phone/Fax

Practice location:
  • Phone: 978-335-8785
  • Fax: 603-489-1389
Mailing address:
  • Phone: 978-335-8785
  • Fax: 603-489-1389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number058926-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: