Healthcare Provider Details

I. General information

NPI: 1477924199
Provider Name (Legal Business Name): HANNAH STUTTS APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2015
Last Update Date: 11/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 STRAFFORD ST
LACONIA NH
03246-4701
US

IV. Provider business mailing address

841 CENTRAL ST
FRANKLIN NH
03235-2026
US

V. Phone/Fax

Practice location:
  • Phone: 603-934-0177
  • Fax: 603-934-2805
Mailing address:
  • Phone: 603-934-0177
  • Fax: 603-934-2805

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number059802-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: