Provider Demographics
NPI:1407465768
Name:ADINOLFO, BRANDI (APRN)
Entity Type:Individual
Prefix:
First Name:BRANDI
Middle Name:
Last Name:ADINOLFO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 MILLSTREAM LN
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03303-1844
Mailing Address - Country:US
Mailing Address - Phone:603-344-6003
Mailing Address - Fax:
Practice Address - Street 1:31 COLLEGE DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7425
Practice Address - Country:US
Practice Address - Phone:603-230-4043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-23
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH064627-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily