Provider Demographics
NPI:1508207663
Name:MONACHINO, AMY R (APRN)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:R
Last Name:MONACHINO
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:18 FOUNDRY ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-5421
Mailing Address - Country:US
Mailing Address - Phone:603-230-5627
Mailing Address - Fax:603-230-5601
Practice Address - Street 1:18 FOUNDRY ST
Practice Address - Street 2:SUITE 103
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5421
Practice Address - Country:US
Practice Address - Phone:603-230-5627
Practice Address - Fax:603-230-5601
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2016-05-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MECNP131055363LF0000X
NH061735-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily