Healthcare Provider Details

I. General information

NPI: 1407546583
Provider Name (Legal Business Name): ORION MEDICAL CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/11/2023
Last Update Date: 09/01/2023
Certification Date: 09/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 W HOLLIS ST STE 106
NASHUA NH
03062-1386
US

IV. Provider business mailing address

505 W HOLLIS ST STE 106
NASHUA NH
03062-1386
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-1613
  • Fax:
Mailing address:
  • Phone: 603-577-1613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CRISTA PEHL
Title or Position: NURSE PRACTITIONER
Credential: APRN
Phone: 603-577-1613