DORTHEA PETERS (NPI# 1982021952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982021952 |
| Entity Type | Individual |
| Full Name | DORTHEA PETERS |
| Credential | FNP-C |
| Practice Address |
271 Mammoth Rd Manchester NH 03109-4124 |
| Practice Telephone | 6036233995 |
| Mailing Telephone | 6036233995 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
077383-23 | NH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
9291236 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 214 Daniel Webster Hwy, Nashua, NH 03060 | 6038884354 | |
| 30387 Us Highway 19 N, Clearwater, FL 337611053 | 7277812955 |
| Street Address |
271 MAMMOTH RD |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03109-4124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871676130 | Cvs Manchester Nh, L.L.C. | Pharmacy | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2006-10-23 |
| 1902412489 | Andy Lam | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2020-09-19 |
| 1427605377 | Lauren Nicole Cronin | Registered Nurse | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2019-08-23 |
| 1457862195 | Julianne Jefferson | Nurse Practitioner | 271 Mammoth Rd, Manchester, NH 03109 | 2017-10-20 |
| 1588181515 | Brian Fontaine | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2017-08-30 |
| 1720504491 | Scott Gallagher | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2017-08-15 |
| 1396270633 | Michelle Bou-mitri | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2017-04-24 |
| 1316490618 | Jessie Anh Boseke | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2016-08-03 |
| 1912358185 | Jen Phuong Mooers | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2016-06-28 |
| 1265883789 | Stacey Nault-bastian | Pharmacist | 271 Mammoth Rd, Manchester, NH 03109-4124 | 2016-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275960452 | Valerie Amador | Physical Therapy Assistant | 195 Sibley Terrace, Manchester, NH 03109 | 2013-10-02 |
| 1104894708 | Mahendra Singh Panesar | Pediatrics | Pediatric Health Associates, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-03-09 |
| 1225004005 | Edward P. Dalton | Surgery | Elliot Breast Health Center, 275 Mammoth Road, Suite 1, Manchester, NH 03109 | 2006-02-23 |
| 1487644829 | Donald E. Salvatore | Pediatrics | 275 Mammoth Road, Suite 2, Manchester, NH 03109 | 2005-10-26 |
| 1831191659 | Elliot Physicians Network | Internal Medicine | 1070 Holt Avenue, Unit 1 Suite 2200, Manchester, NH 03109 | 2005-08-11 |
| 1154708964 | Jared Dunahay | Pediatrics | 275 Mammoth Rd Ste 2, Manchester, NH 03109 | 2015-04-30 |
| 1326474750 | Jason Michael Albrecht | Internal Medicine | 275 Mammoth Rd Ste 4, Manchester, NH 03109 | 2013-09-17 |
| 1316379266 | Johnson Orthodontics, Pllc | Dentist | 113 Mammoth Rd, Suite 1, Manchester, NH 03109 | 2013-08-02 |
| 1093941924 | Muhammad Muddasir Qureshi | Psychiatry & Neurology | 275 Mammoth Rd Ste 1, Manchester, NH 03109 | 2009-06-05 |
| 1598921538 | Sarah Joy Girard | Occupational Therapist | 357 Island Pond Rd, Manchester, NH 03109 | 2008-07-30 |
| Find all providers in zip 03109 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553233 | Anylen Ruiz Ayala | Nurse Practitioner | 109 W Center St, Manchester, CT 06040-4917 | 2020-09-16 |
| 1497368146 | Sarah Kuzara | Nurse Practitioner | 1069 Big Bend Crossing Dr, Manchester, MO 63088-1296 | 2020-08-24 |
| 1265068910 | Katelyn Denise Walker | Nurse Practitioner | 306 Boone Dr, Manchester, TN 37355-7820 | 2020-03-13 |
| 1780219659 | Ashlynn Fogg | Nurse Practitioner | 1750 Elm St Ste 201a, Manchester, NH 03104-2903 | 2020-03-11 |
| 1922669357 | Heather Rogers Hansen | Nurse Practitioner | 1279 S Willow St Ste E, Manchester, NH 03103-4015 | 2019-06-26 |
| 1619433802 | Samantha Ashley Case | Nurse Practitioner | 635 Clay St Fl 1, Manchester, NH 03103-4507 | 2019-02-13 |
| 1538640420 | Isaac Okyere Ampofo | Nurse Practitioner | 629 Middle Turnpike East, Manchester, CT 06040-3571 | 2018-08-28 |
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1952817371 | Rodrick Emmanuel Thomas | Nurse Practitioner | 553 S Commercial St Apt 309, Manchester, NH 03101-2749 | 2017-12-20 |
| 1063950160 | Kacy Mikala Kirk | Nurse Practitioner | 183 Roberts Creek Cir, Manchester, TN 37355-3690 | 2017-02-08 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 03109 |
Please comment or provide details below to improve the information on DORTHEA PETERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.