Healthcare Provider Details

I. General information

NPI: 1356904114
Provider Name (Legal Business Name): ERICA PEERY NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136A ARCH ST
KEENE NH
03431-2186
US

IV. Provider business mailing address

80 NOONE AVE
PETERBOROUGH NH
03458-1306
US

V. Phone/Fax

Practice location:
  • Phone: 603-357-3902
  • Fax: 610-281-3312
Mailing address:
  • Phone: 603-357-3902
  • Fax: 610-281-3312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number068669-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: