Active NPIIndividual providerSole proprietor

Amy R Bacon-Ford

Nurse Practitioner, Psych/Mental Health in Manchester, New Hampshire

NPI Number1760789143
Practice location
1 Elliot Way, Manchester, NH 03103-3502
Fax
—
Last updated
August 4, 2023

Amy Rebecca Bacon-Ford is a Nurse Practitioner, Psych/Mental Health based in Manchester, NH. Amy Rebecca Bacon-Ford practices in Manchester, NH. The NPI Number for Amy Rebecca Bacon-Ford is 1760789143 and holds a License No. 072006-23 (NH). The current practice location address for Amy Rebecca Bacon-Ford is 1 Elliot Way, Manchester, NH 03103-3502 and can be reached out via phone at 603-663-2766.

Provider Profile Details

NPI Number
1760789143
Provider Name
Amy Rebecca Bacon-Ford
Provider Entity Type
Individual
Gender
Female
Address
1 Elliot Way, Manchester, NH 03103-3502
Phone Number
603-663-2766
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
Yes
Provider Enumeration Date
February 21, 2011
Last Update Date
August 4, 2023
Certification Date
August 4, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Elliot Way
Manchester, NH 03103-3502
Zip
03103-3502
Phone Number
603-663-2766
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
1 Elliot Way
Manchester, NH 03103-3599
City
Manchester
State
NH
Zip
03103-3599
Phone Number
603-663-3388

License Information

License Number (1)
072006-23
License State (1)
NH
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Taxonomy (2)
General Acute Care Hospital · 282N00000X

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 Amy R Bacon-Ford?

The NPI number of Amy R Bacon-Ford is 1760789143. It was assigned on February 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Amy R Bacon-Ford?

Amy R Bacon-Ford is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in NH under license number 072006-23.

Where does Amy R Bacon-Ford practice?

The practice location is 1 Elliot Way, Manchester, NH 03103-3502. The office can be reached at 603-663-2766 (phone).

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 1760789143 directly on the NPPES registry website.

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