Healthcare Provider Details

I. General information

NPI: 1821487125
Provider Name (Legal Business Name): LINDSEY BRITTEN PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/10/2015
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 KINSLEY ST STE 101
NASHUA NH
03060-3676
US

IV. Provider business mailing address

C/O ST MARY'S REGIONAL MEDICAL CENTER PO BOX 7291
LEWISTON ME
04243-7291
US

V. Phone/Fax

Practice location:
  • Phone: 603-889-4131
  • Fax:
Mailing address:
  • Phone: 207-777-8695
  • Fax: 207-777-8800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number1368
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: