Healthcare Provider Details

I. General information

NPI: 1720231616
Provider Name (Legal Business Name): ROBERTA STANHOPE ARNP,PMH, CNS, BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ROBERTA STANHOPE ARNP,PMH,CNS,BC

II. Dates (important events)

Enumeration Date: 10/23/2008
Last Update Date: 11/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 JENKINS CT SUITE 220
DURHAM NH
03824-2340
US

IV. Provider business mailing address

13 JENKINS CT STE 220
DURHAM NH
03824-2324
US

V. Phone/Fax

Practice location:
  • Phone: 603-651-0293
  • Fax: 603-815-4944
Mailing address:
  • Phone: 603-651-0293
  • Fax: 603-815-4944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number054414-21
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number054414-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: