Healthcare Provider Details

I. General information

NPI: 1437981453
Provider Name (Legal Business Name): STEPHANIE ANN BUENDIA PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 03/03/2025
Certification Date: 03/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

61 SPIT BROOK RD STE 202
NASHUA NH
03060-5614
US

IV. Provider business mailing address

61 SPIT BROOK RD STE 202
NASHUA NH
03060-5614
US

V. Phone/Fax

Practice location:
  • Phone: 603-821-0008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberRN2324564
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number087108-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: