Healthcare Provider Details

I. General information

NPI: 1376456228
Provider Name (Legal Business Name): 603 AUDIOLOGY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 TRIANGLE LN STE 106
MANCHESTER NH
03103-2341
US

IV. Provider business mailing address

19 MISTY LN
ROCHESTER NH
03839-5431
US

V. Phone/Fax

Practice location:
  • Phone: 603-988-7688
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: NICOLE M NADEAU
Title or Position: OWNER & AUDIOLOGIST
Credential: AUD, CCC-A
Phone: 603-988-7688