MEDICARE: MR. NATHAN K HAND PA C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AM0700X	Medical Physician Assistant	1952	MA
2	363AM0700X	Medical Physician Assistant	1697	NH

General Provider Information

NPI Number	:	1659314961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. NATHAN K HAND PA C

Provider Business Mailing Address
First Line	:	784 CENTRAL AVE
Second Line	:
City	:	DOVER
State	:	NH
Zip	:	03820-2549
Country	:	US
Telephone Number	:	603-742-5556
Fax Number	:	978-244-6610

Provider Business Practice Location Address
First Line	:	1C COMMONS DR UNIT 16
Second Line	:
City	:	LONDONDERRY
State	:	NH
Zip	:	03053-3441
Country	:	US
Telephone Number	:	603-965-3551
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	04/28/2021

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