Active NPI
Twin State Wellness
- Primary Care Clinic/Center
- Hanover, NH
National Provider Identifier
1134055502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- TWIN STATE WELLNESS
- Practice address
- 12 South St Ste 3B
Hanover, NH 03755-2163 - Phone
- (603) 359-3508
- Fax
- (603) 359-3508
- NPI assigned
- Jun 22, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry O'Hara, DNP, AGNP-C
- Title
- Nurse Practitioner
- Phone
- (603) 359-3508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
12 South St Ste 3B
Hanover, NH 03755-2163
Mailing address
12 South St Ste 3B
Hanover, NH 03755-2163
Phone (603) 359-3508
National Provider Directory
National Provider DirectoryLocations
12 South St
Ste 3B
Hanover, NH 03755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1782086400000",
"number": "1134055502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 SOUTH ST STE 3B",
"city": "HANOVER",
"state": "NH",
"postal_code": "037552163",
"telephone_number": "603-359-3508",
"fax_number": "603-359-3508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 SOUTH ST STE 3B",
"city": "HANOVER",
"state": "NH",
"postal_code": "037552163",
"telephone_number": "603-359-3508",
"fax_number": "603-359-3508"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TWIN STATE WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2026-06-22",
"last_updated": "2026-06-22",
"certification_date": "2026-06-22",
"status": "A",
"authorized_official_last_name": "O'HARA",
"authorized_official_first_name": "KERRY",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "603-359-3508",
"authorized_official_credential": "DNP, AGNP-C"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.