Healthcare Provider Details

I. General information

NPI: 1407465768
Provider Name (Legal Business Name): BRANDI ADINOLFO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2020
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HIGHLAND ST
LACONIA NH
03246-3235
US

IV. Provider business mailing address

250 PLEASANT ST
CONCORD NH
03301-2598
US

V. Phone/Fax

Practice location:
  • Phone: 603-524-3211
  • Fax:
Mailing address:
  • Phone: 603-415-6624
  • Fax: 603-227-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number064627-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: