Provider Demographics
NPI:1225498900
Name:CHAUSSE, COLLEEN (APRN)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:
Last Name:CHAUSSE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 LARCH ST
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102-1104
Mailing Address - Country:US
Mailing Address - Phone:603-261-6998
Mailing Address - Fax:
Practice Address - Street 1:2 LARCH ST UNIT 19
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102-1134
Practice Address - Country:US
Practice Address - Phone:603-261-6998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-24
Last Update Date:2025-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH038541-23363LP0808X
NH038541-21163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse