Provider Demographics
NPI:1558396192
Name:KALINSKI, NANCY E (PA-C)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:E
Last Name:KALINSKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 BIRCHWOOD RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-3912
Mailing Address - Country:US
Mailing Address - Phone:603-644-7682
Mailing Address - Fax:
Practice Address - Street 1:102 BAY ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03104-3008
Practice Address - Country:US
Practice Address - Phone:603-625-1724
Practice Address - Fax:603-625-1230
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0236363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH40009412Medicaid
S21946Medicare UPIN