Healthcare Provider Details

I. General information

NPI: 1831823947
Provider Name (Legal Business Name): ALYSSA MICHELLE ROBITAILLE APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2022
Last Update Date: 07/13/2022
Certification Date: 07/13/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ELLIOT WAY FL 5 FIFTH FLOOR, HOSPITALIST GROUP
MANCHESTER NH
03103-3599
US

IV. Provider business mailing address

1 ELLIOT WAY FL 5 FIFTH FLOOR, HOSPITALIST GROUP
MANCHESTER NH
03103-3599
US

V. Phone/Fax

Practice location:
  • Phone: 603-666-5300
  • Fax:
Mailing address:
  • Phone: 603-666-5300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number063351-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: