Provider Demographics
NPI:1922016708
Name:FITCH, JOYCE BARAN (ARNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:BARAN
Last Name:FITCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BRENDA LN
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2509
Mailing Address - Country:US
Mailing Address - Phone:603-424-9429
Mailing Address - Fax:
Practice Address - Street 1:294 DANIEL WEBSTER HWY
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4474
Practice Address - Country:US
Practice Address - Phone:603-424-4713
Practice Address - Fax:603-424-2915
Is Sole Proprietor?:No
Enumeration Date:2006-08-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH017862-23-03363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30002161Medicaid
NHNP0836Medicare ID - Type Unspecified
S46884Medicare UPIN