Healthcare Provider Details

I. General information

NPI: 1750137055
Provider Name (Legal Business Name): DAVID BATSA APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/26/2024
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 HANOVER ST STE 200
MANCHESTER NH
03101-2230
US

IV. Provider business mailing address

66 HANOVER ST STE 200
MANCHESTER NH
03101-2230
US

V. Phone/Fax

Practice location:
  • Phone: 978-221-0935
  • Fax: 833-764-5809
Mailing address:
  • Phone: 978-221-0935
  • Fax: 833-764-5809

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN10038747
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number230835
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number115765-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: