Healthcare Provider Details

I. General information

NPI: 1568902203
Provider Name (Legal Business Name): LORNA M PICHE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LORNA M ELLIOTT LORNA AVERY: APRN

II. Dates (important events)

Enumeration Date: 02/28/2017
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 MEADOW ST
SANBORNVILLE NH
03872-4329
US

IV. Provider business mailing address

131 MEADOW ST
SANBORNVILLE NH
03872-4329
US

V. Phone/Fax

Practice location:
  • Phone: 603-871-8227
  • Fax: 603-871-8285
Mailing address:
  • Phone: 603-871-8227
  • Fax: 603-871-8285

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number036164-23
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number036164-23
License Number StateNH
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number036164-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: