MEDICARE: MRS. DANA ROSA PHILLIPS APRN, MSN, FNP-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	363LF0000X	Family Nurse Practitioner	074861-23	NH

General Provider Information

NPI Number	:	1790475986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DANA ROSA PHILLIPS APRN, MSN, FNP-C

Provider Business Mailing Address
First Line	:	360 US HIGHWAY 1 BYP UNIT 102
Second Line	:
City	:	PORTSMOUTH
State	:	NH
Zip	:	03801-7105
Country	:	US
Telephone Number	:	603-410-6700
Fax Number	:	603-309-9601

Provider Business Practice Location Address
First Line	:	545 HOOKSETT RD UNIT 1
Second Line	:
City	:	MANCHESTER
State	:	NH
Zip	:	03104-2654
Country	:	US
Telephone Number	:	603-255-4775
Fax Number	:	603-255-4776

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

Provider Enumeration Date	:	05/10/2023
Last Update Date	:	04/06/2026

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