Healthcare Provider Details
I. General information
NPI: 1437143369
Provider Name (Legal Business Name): ANICA NAPRTA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/07/2005
Last Update Date: 11/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7 EXECUTIVE PARK DRIVE HOME HEALTH & HOSPICE CARE
MERRIMACK NH
03054
US
IV. Provider business mailing address
7 EXECUTIVE PARK DRIVE
MERRIMACK NH
03054
US
V. Phone/Fax
- Phone: 603-882-2941
- Fax: 603-429-1844
- Phone: 603-882-2941
- Fax: 603-429-1844
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | 12431 |
| License Number State | NH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: