Healthcare Provider Details

I. General information

NPI: 1598682502
Provider Name (Legal Business Name): EMILY ELIZABETH ROY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

775 S MAIN ST
MANCHESTER NH
03102-5143
US

IV. Provider business mailing address

475 SHAKER RD
CONCORD NH
03301-6930
US

V. Phone/Fax

Practice location:
  • Phone: 603-472-1772
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number091739-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: