Healthcare Provider Details

I. General information

NPI: 1679024624
Provider Name (Legal Business Name): MELISSA FRENCH APRN PMHNP BC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 10/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 ROUTE 27 STE 10
RAYMOND NH
03077-1273
US

IV. Provider business mailing address

26 LYNDEBOROUGH RD
AMHERST NH
03031-3046
US

V. Phone/Fax

Practice location:
  • Phone: 603-988-3126
  • Fax:
Mailing address:
  • Phone: 603-988-3126
  • Fax: 603-249-5129

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number06447623
License Number StateNH

VIII. Authorized Official

Name: MELISSA M FRENCH
Title or Position: OWNER
Credential: APRN
Phone: 603-988-3126