DR. CLIVE E ROBERTSON FNP-BC NPI 1710655006

NPI Information

  • NPI: 1710655006
  • Provider Name: DR. CLIVE E ROBERTSON, FNP-BC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 101 SHATTUCK WAY STE 6
    NEWINGTON, NH
    ZIP 03801
  • Phone: (603) 778-9921

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NPI Details

DR. Clive E Robertson, FNP-BC is a family nurse practitioner in Newington, NH with 5 years of experience. DR. Clive E Robertson, FNP-BC NPI is 1710655006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

101 SHATTUCK WAY STE 6
NEWINGTON, NH
ZIP 03801-876
Phone: (603) 778-9921

The NPI 1710655006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/1/2021 and was last updated on 6/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse2354385MASSACHUSETTSNo
2163W00000XRegistered Nurse255804NORTH CAROLINANo
3163W00000XRegistered Nurse644410NEW YORKNo
4363LF0000XNurse PractitionerFamily2354385MASSACHUSETTSNo
5363LF0000XNurse PractitionerFamily11018088FLORIDANo
6363LF0000XNurse PractitionerFamily086438-23NEW HAMPSHIREYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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