Active NPIIndividual provider

Mrs. Micque E Mortela, RN

Nurse Practitioner, Family in Merrimack, New Hampshire

NPI Number1881326791
Practice location
12 Gail RD, Merrimack, NH 03054-4556
Fax
—
Last updated
November 9, 2026

Micque Ellyn Mortela is a Nurse Practitioner, Family based in Merrimack, NH. Micque Ellyn Mortela practices in Merrimack, NH and has the professional credentials of RN. The NPI Number for Micque Ellyn Mortela is 1881326791 and holds a License No. RN2291047 (MA). The current practice location address for Micque Ellyn Mortela is 12 Gail RD, Merrimack, NH 03054-4556 and can be reached out via phone at 978-995-5705.

Provider Profile Details

NPI Number
1881326791
Provider Name
Micque Ellyn Mortela
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
12 Gail RD, Merrimack, NH 03054-4556
Phone Number
978-995-5705
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2022
Last Update Date
November 9, 2026
Certification Date
November 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Gail RD
Merrimack, NH 03054-4556
Zip
03054-4556
Phone Number
978-995-5705
Merrimack, NH 03054Get directions →

Provider Business Mailing Address Details

Address
12 Gail RD
Merrimack, NH 03054-4556
City
Merrimack
State
NH
Zip
03054-4556
Phone Number
978-995-5705

License Information

License Number (1)
RN2291047
License State (1)
MA
Taxonomy (1)
Nurse Practitioner, Family · 363LF0000X · Primary
License Number (2)
RN2291047
License State (2)
MA
Taxonomy (2)
Registered Nurse · 163W00000X

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. Micque E Mortela, RN?

The NPI number of Mrs. Micque E Mortela, RN is 1881326791. It was assigned on June 29, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Micque E Mortela, RN?

Mrs. Micque E Mortela, RN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in MA under license number RN2291047.

Where does Mrs. Micque E Mortela, RN practice?

The practice location is 12 Gail RD, Merrimack, NH 03054-4556. The office can be reached at 978-995-5705 (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 1881326791 directly on the NPPES registry website.

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