Provider Demographics
NPI:1871236216
Name:PAQUETTE, NANCY JANE (RN)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:JANE
Last Name:PAQUETTE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:JANE
Other - Last Name:KELLEHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:14 SUNRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1770
Mailing Address - Country:US
Mailing Address - Phone:603-244-0279
Mailing Address - Fax:
Practice Address - Street 1:14 SUNRIDGE RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1770
Practice Address - Country:US
Practice Address - Phone:603-244-0279
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-14
Last Update Date:2022-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN215627163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine