Provider Demographics
NPI:1528882081
Name:SOLOMON, AMELIA (APRN)
Entity type:Individual
Prefix:MRS
First Name:AMELIA
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:AMELIA
Other - Middle Name:
Other - Last Name:GROTHEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:250 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-2598
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1990 DOVER RD UNIT 201
Practice Address - Street 2:
Practice Address - City:EPSOM
Practice Address - State:NH
Practice Address - Zip Code:03234-4146
Practice Address - Country:US
Practice Address - Phone:603-736-6200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-12
Last Update Date:2024-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH063235-23363LF0000X, 363LP2300X
NH063235-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care