Healthcare Provider Details

I. General information

NPI: 1932561362
Provider Name (Legal Business Name): HELEN S. RIZZA, APRN, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2016
Last Update Date: 03/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 MIRONA ROAD EXT STE 3
PORTSMOUTH NH
03801-5385
US

IV. Provider business mailing address

30 MIRONA ROAD EXT STE 3
PORTSMOUTH NH
03801-5385
US

V. Phone/Fax

Practice location:
  • Phone: 603-918-6162
  • Fax: 603-766-3141
Mailing address:
  • Phone: 603-918-6162
  • Fax: 603-766-3141

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number026837-23
License Number StateNH

VIII. Authorized Official

Name: HELEN S. RIZZA
Title or Position: OWNER
Credential: APRN
Phone: 603-918-6162