Provider Demographics
NPI:1538108188
Name:CROTHERS, PATRICIA C (APRN)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:C
Last Name:CROTHERS
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 1:7 RIVERWOODS DR
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-4374
Mailing Address - Country:US
Mailing Address - Phone:603-658-1580
Mailing Address - Fax:603-778-9623
Practice Address - Street 1:5 TIMBER LN
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-5331
Practice Address - Country:US
Practice Address - Phone:603-658-5959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-06
Last Update Date:2010-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH027844-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME270340099Medicaid
NH30341552Medicaid
NHP35519Medicare UPIN
NHNP335501Medicare PIN