Healthcare Provider Details

I. General information

NPI: 1972013068
Provider Name (Legal Business Name): KATE A NADEAU APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2017
Last Update Date: 10/03/2017
Certification Date:
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

43 N ADAMS ST
MANCHESTER NH
03104-2534
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-1613
  • Fax:
Mailing address:
  • Phone: 603-533-5530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number060931-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: