Janet Lynn Archambault, MSN, ARNP, BSN

Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Portsmouth, NH

NPI 1922011485 · NPPES record last updated Jun 10, 2008

Key facts

NPI
1922011485
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License
022549-23-08 (NH)
Practice address
118 Maplewood Ave
Portsmouth, NH 03801-3787
Phone
(603) 219-6679
Fax
(603) 436-1860
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Bay Mental Health Assoc Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 022549-23-08 NH Yes

Addresses

Primary practice location

118 Maplewood Ave
Portsmouth, NH 03801-3787

Mailing address

17 Cricket LN
Rollinsford, NH 03869-5600
Phone (603) 742-7773

Other identifiers

IdentifierTypeStateIssuer
30343710MedicaidNH

Other providers in Portsmouth, NH

All providers in Portsmouth, NH · Psychiatric/Mental Health Nurse Practitioner in New Hampshire

Sources for this page

Verify at the official NPI Registry.