Individual
ANITA L NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
333 BORTHWICK AVE, MOB 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Mailing address
333 BORTHWICK AVE, MOB 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
054231-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811366602
—
ME
05
—
3102254
—
NH
Enumeration date
09/22/2015
Last updated
01/27/2022
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