MEDICARE: ALICIA LOUISE PERRY NP

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	063028-23	NH
2	363LF0000X	Family Nurse Practitioner	CNP161018	ME
3	363LF0000X	Family Nurse Practitioner	353157	NY

General Provider Information

NPI Number	:	1811244320
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA LOUISE PERRY NP

Provider Business Mailing Address
First Line	:	8 HAMPTON RD
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-4806
Country	:	US
Telephone Number	:	603-778-0531
Fax Number	:	484-813-6132

Provider Business Practice Location Address
First Line	:	8 HAMPTON RD
Second Line	:
City	:	EXETER
State	:	NH
Zip	:	03833-4806
Country	:	US
Telephone Number	:	603-778-0531
Fax Number	:	484-813-6132

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

Provider Enumeration Date	:	08/14/2012
Last Update Date	:	12/15/2023

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Directions to “ ALICIA LOUISE PERRY NP” Practice Location

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