Nicholson, Anita L

Nicholson, Anita L is an individual health care provider with primary practice located at 333 Borthwick Ave Mob 402, Portsmouth NH 03801-7128. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Nicholson, Anita L can be contacted via phone (603) 559-4111.

Contact Information

Primary practice address
333 Borthwick Ave Mob 402 Portsmouth NH 03801-7128
Fax: (603) 559-4110
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 054231-23 New Hampshire

Profile Details

NPI number 1811366602
LBN Legal business name Nicholson, Anita L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2015
Last updated Jan 27th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811366602 NPPES
New Hampshire MEDICAID 3102254
New Hampshire MEDICAID 1811366602

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