Healthcare Provider Details

I. General information

NPI: 1992064257
Provider Name (Legal Business Name): ALISON A PALMER A.P.R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2012
Last Update Date: 07/23/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 TARRYTOWN RD
MANCHESTER NH
03103-2713
US

IV. Provider business mailing address

150 TARRYTOWN RD
MANCHESTER NH
03103-2713
US

V. Phone/Fax

Practice location:
  • Phone: 603-622-3162
  • Fax: 603-622-8677
Mailing address:
  • Phone: 603-622-3162
  • Fax: 603-622-8677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number054314-23
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number054314-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: