Healthcare Provider Details

I. General information

NPI: 1952805343
Provider Name (Legal Business Name): ROBERTA STANHOPE ARNP PMH CNS BC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2018
Last Update Date: 04/17/2020
Certification Date: 04/17/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 JENKINS CT STE 220
DURHAM NH
03824-2324
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 TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: ROBERTA STANHOPE
Title or Position: OWNER
Credential: ARNP,PMH,CNS,BC,PLLC
Phone: 603-651-0293