Provider Demographics
NPI:1710693080
Name:ALYSHA CUTTS MSN PMHNP-BC LLC
Entity Type:Organization
Organization Name:ALYSHA CUTTS MSN PMHNP-BC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ALYSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CUTTS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-782-9691
Mailing Address - Street 1:75 GILCREAST RD
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3564
Mailing Address - Country:US
Mailing Address - Phone:603-782-9691
Mailing Address - Fax:
Practice Address - Street 1:75 GILCREAST RD
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3564
Practice Address - Country:US
Practice Address - Phone:603-782-9691
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty