Provider Demographics
NPI:1144534298
Name:THOMASSEN, ANNE MEREDITH (APRN,NP-C)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:MEREDITH
Last Name:THOMASSEN
Suffix:
Gender:F
Credentials:APRN,NP-C
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6 TSIENNETO RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:DERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03038-1584
Mailing Address - Country:US
Mailing Address - Phone:603-216-0400
Mailing Address - Fax:603-216-3800
Practice Address - Street 1:6 TSIENNETO RD
Practice Address - Street 2:SUITE 300
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1584
Practice Address - Country:US
Practice Address - Phone:603-216-0400
Practice Address - Fax:603-216-3800
Is Sole Proprietor?:No
Enumeration Date:2010-07-31
Last Update Date:2014-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH052024-23363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30348459Medicaid
NH1144534298OtherANTHEM BCBS
MA110087843AMedicaid
NHP00874966OtherRAILROAD MEDICARE
ME1144534298Medicaid
NH30348459Medicaid