Provider Demographics
NPI:1568902203
Name:PICHE, LORNA M (APRN)
Entity type:Individual
Prefix:
First Name:LORNA
Middle Name:M
Last Name:PICHE
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:LORNA
Other - Middle Name:M
Other - Last Name:ELLIOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LORNA AVERY: APRN
Mailing Address - Street 1:1251 WHITE MOUNTAIN HWY
Mailing Address - Street 2:
Mailing Address - City:NORTH CONWAY
Mailing Address - State:NH
Mailing Address - Zip Code:03860-5154
Mailing Address - Country:US
Mailing Address - Phone:603-356-7294
Mailing Address - Fax:603-356-3316
Practice Address - Street 1:1251 WHITE MOUNTAIN HWY
Practice Address - Street 2:
Practice Address - City:NORTH CONWAY
Practice Address - State:NH
Practice Address - Zip Code:03860-5154
Practice Address - Country:US
Practice Address - Phone:603-356-7294
Practice Address - Fax:603-356-3316
Is Sole Proprietor?:No
Enumeration Date:2017-02-28
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH036164-23363L00000X, 363LA2200X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH036164-23OtherNURSE PRACTIONER
NH2016029815OtherNURSE PRACTIONER CERTIFICATION