Healthcare Provider Details

I. General information

NPI: 1780364596
Provider Name (Legal Business Name): MELISSA DORA CURRAN FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2023
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2300 SOUTHWOOD DR
NASHUA NH
03063-1818
US

IV. Provider business mailing address

262 SAND HILL RD
PETERBOROUGH NH
03458-1613
US

V. Phone/Fax

Practice location:
  • Phone: 603-577-4170
  • Fax:
Mailing address:
  • Phone: 603-732-7158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number061741-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: