Provider Demographics
NPI:1215127840
Name:NELSON-VANCINI, MARCIA ELAINE (CNS NP)
Entity type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:ELAINE
Last Name:NELSON-VANCINI
Suffix:
Gender:F
Credentials:CNS NP
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:ELAINE
Other - Last Name:VANCINI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CNS NP
Mailing Address - Street 1:78 HICKORY RD
Mailing Address - Street 2:
Mailing Address - City:HAMPSTEAD
Mailing Address - State:NH
Mailing Address - Zip Code:03841-2226
Mailing Address - Country:US
Mailing Address - Phone:978-335-8785
Mailing Address - Fax:603-489-1389
Practice Address - Street 1:78 HICKORY RD
Practice Address - Street 2:
Practice Address - City:HAMPSTEAD
Practice Address - State:NH
Practice Address - Zip Code:03841-2226
Practice Address - Country:US
Practice Address - Phone:978-335-8785
Practice Address - Fax:603-489-1389
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH058926-23364SP0809X
MA100572364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MANS070706Medicare PIN