Active NPIIndividual provider

Mrs. Vicki T Petalas, FNP

Nurse Practitioner, Family in Somersworth, New Hampshire

NPI Number1275197741
Practice location
255 Route 108, Somersworth, NH 03878-1543
Fax
603-692-1081
Last updated
July 26, 2019

Vicki Tanner Petalas is a Nurse Practitioner, Family based in Somersworth, NH. Vicki Tanner Petalas practices in Somersworth, NH and has the professional credentials of FNP. The NPI Number for Vicki Tanner Petalas is 1275197741 and holds a License No. 049901-23 (NH). The current practice location address for Vicki Tanner Petalas is 255 Route 108, Somersworth, NH 03878-1543 and can be reached out via phone at 603-841-2301 and via fax at 603-692-1081.

Provider Profile Details

NPI Number
1275197741
Provider Name
Vicki Tanner Petalas
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
255 Route 108, Somersworth, NH 03878-1543
Phone Number
603-841-2301
Fax Number
603-692-1081
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Other Names
Ms. Vicki Anne Tanner, RN (Former Name)
Provider Enumeration Date
April 30, 2019
Last Update Date
July 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
255 Route 108
Somersworth, NH 03878-1543
Zip
03878-1543
Phone Number
603-841-2301
Fax Number
603-692-1081
Somersworth, NH 03878Get directions →

Provider Business Mailing Address Details

Address
300 Southborough Dr
South Portland, ME 04106-6914
City
South Portland
State
ME
Zip
04106-6914

License Information

License Number
049901-23
License State
NH
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Vicki T Petalas, FNP?

The NPI number of Mrs. Vicki T Petalas, FNP is 1275197741. It was assigned on April 30, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Vicki T Petalas, FNP?

Mrs. Vicki T Petalas, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NH under license number 049901-23.

Where does Mrs. Vicki T Petalas, FNP practice?

The practice location is 255 Route 108, Somersworth, NH 03878-1543. The office can be reached at 603-841-2301 (phone) or 603-692-1081 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275197741 directly on the NPPES registry website.

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