Provider Demographics
NPI:1346436490
Name:ADVANCED PRACTICE PSYCHIATRIC NURSES PLLC
Entity Type:Organization
Organization Name:ADVANCED PRACTICE PSYCHIATRIC NURSES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SABRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WELCH
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP, CS, BC, MA
Authorized Official - Phone:603-224-0101
Mailing Address - Street 1:497 HOOKSETT RD
Mailing Address - Street 2:SUITE 325
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-2632
Mailing Address - Country:US
Mailing Address - Phone:603-224-0101
Mailing Address - Fax:603-668-2191
Practice Address - Street 1:61 NORTH ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3029
Practice Address - Country:US
Practice Address - Phone:603-224-0101
Practice Address - Fax:603-668-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH=========OtherCIGNA