Healthcare Provider Details

I. General information

NPI: 1932120086
Provider Name (Legal Business Name): MICHELINE MARIE CIGNOLI ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2006
Last Update Date: 01/16/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SOUTHWOOD DR
NASHUA NH
03063-1818
US

IV. Provider business mailing address

2300 SOUTHWOOD DR
NASHUA NH
03063-1818
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-4400
  • Fax:
Mailing address:
  • Phone: 603-577-4440
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number026798-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: