Individual
PATRICIA A MOXHAM-FISHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
19 OLD ROLLINSFORD RD BLDG B, DOVER, NH 03820-2807
(603) 516-4265
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
086609-23
NH
363LA2200X
Adult Health Nurse Practitioner
5105
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3131522
—
NH
Enumeration date
11/28/2006
Last updated
06/28/2022
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