MEDICARE: DANA ROSS FISKE AUD

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	231H00000X	Audiologist	231H00000X	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	7308803Y0NH01	OTHER	NH	ANTHEM BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710037569
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANA ROSS FISKE AUD

Provider Business Mailing Address
First Line	:	330 BORTHWICK AVE
Second Line	:	SUITE 209
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4174
Country	:	US
Telephone Number	:	603-436-8668
Fax Number	:	603-436-4499

Provider Business Practice Location Address
First Line	:	330 BORTHWICK AVE
Second Line	:	SUITE 209
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-4174
Country	:	US
Telephone Number	:	603-436-8668
Fax Number	:	603-436-4499

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

Provider Enumeration Date	:	01/12/2007
Last Update Date	:	02/08/2026

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Directions to “ DANA ROSS FISKE AUD” Practice Location

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