Judith Ann Hallisey, ARNP
Individual provider Active NPI Pediatric Nurse Practitioner · Rochester, NH
NPI 1376747642 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376747642
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Nurse Practitioner 363LP0200X
- License
- 0154972302 (NH)
- Practice address
- 163 Rochester Hill Rd
Rochester, NH 03867-1728 - Phone
- (603) 332-0238
- NPI assigned
- Jun 12, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0154972302 | NH | MD | Pediatric Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 0154972302 | NH | Yes |
Addresses
Primary practice location
163 Rochester Hill Rd
Rochester, NH 03867-1728
Mailing address
65 Bucks Hill Rd
Durham, NH 03824-3208
Phone (603) 868-3330
Other providers in Rochester, NH
- Kali K Guilmet-Talbot
- Sarah Frances Guth
- Grace Hachey
- Martha Jean Haley
- Nicole Hall
- Susan Hamann
- Naomi RM Hand
- Hannaford Bros Co LLC
- Hannaford Bros Co LLC
- Meghan Ann Harford
All providers in Rochester, NH · Pediatric Nurse Practitioner in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.