Provider Demographics
NPI:1851700892
Name:DOMBROWSKI, ROXANNE (APRN)
Entity Type:Individual
Prefix:
First Name:ROXANNE
Middle Name:
Last Name:DOMBROWSKI
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 EXECUTIVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4058
Mailing Address - Country:US
Mailing Address - Phone:800-887-5973
Mailing Address - Fax:
Practice Address - Street 1:7 EXECUTIVE PARK DR
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4058
Practice Address - Country:US
Practice Address - Phone:800-887-5973
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-04
Last Update Date:2020-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH049016-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH049016-23OtherNH NURSING BOARD