Provider Demographics
NPI:1740464015
Name:ELLIOTT, NORINE (APRN)
Entity type:Individual
Prefix:
First Name:NORINE
Middle Name:
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:NORINE
Other - Middle Name:
Other - Last Name:VAN LEUVEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:5 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NH
Mailing Address - Zip Code:03570-3726
Mailing Address - Country:US
Mailing Address - Phone:603-752-1876
Mailing Address - Fax:
Practice Address - Street 1:5 NORTH RD
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NH
Practice Address - Zip Code:03570-3726
Practice Address - Country:US
Practice Address - Phone:603-752-1876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-22
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH020495-23-08363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health