Healthcare Provider Details

I. General information

NPI: 1174455877
Provider Name (Legal Business Name): SIMONE FYFFE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MAIN ST STE 7
PETERBOROUGH NH
03458-2460
US

IV. Provider business mailing address

37 1ST TAVERN RD
JAFFREY NH
03452-5103
US

V. Phone/Fax

Practice location:
  • Phone: 603-209-5655
  • Fax:
Mailing address:
  • Phone: 603-209-5655
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number062895-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: