Provider Demographics
NPI:1851113609
Name:BOISVERT, MERRISSA (MSN APRN FNP)
Entity type:Individual
Prefix:
First Name:MERRISSA
Middle Name:
Last Name:BOISVERT
Suffix:
Gender:F
Credentials:MSN APRN FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 DANIEL WEBSTER HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2743
Mailing Address - Country:US
Mailing Address - Phone:603-383-5353
Mailing Address - Fax:
Practice Address - Street 1:604 DANIEL WEBSTER HWY STE 1
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-2743
Practice Address - Country:US
Practice Address - Phone:603-383-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-31
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH068868-23363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily