Merrimack Mobile Medical Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

MERRIMACK MOBILE MEDICAL CARE PLLC

Practice address

18 Galway Rd
Windham, NH 03087-1539

Phone

(603) 334-2455

NPI assigned

Feb 18, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul Acevedo

Title

Owner

Phone

(603) 334-2455

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645142400000",
    "number": "1922753987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 GALWAY RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 GALWAY RD",
            "city": "WINDHAM",
            "state": "NH",
            "postal_code": "030871539",
            "telephone_number": "603-334-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRIMACK MOBILE MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-02-18",
        "certification_date": "2022-02-18",
        "status": "A",
        "authorized_official_last_name": "ACEVEDO",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "603-334-2455"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Marie McKenney, BS
• Stephen J McLean, DPT, CSCS
• Kathleen Medrek
• Mary Ann Melizzi-Golja
• Jehn M Melvin, BA
• Allison Meyer, PA
• Michael P. Romanowsky Family Medicine
• Samantha Monahan
• Noel Mooney, RN
• Emily Moran, MS CCC-SLP

• Family Nurse Practitioner in Windham, NH
• Providers in Windham, NH by specialty
• Family Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.