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General NPI Number Information
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NPI Number | 1255727830
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Entity Type | Organization
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Legal Business Name | SERENA VEROLLA, PLLC
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 75 GILCREAST RD UNIT 200
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City | LONDONDERRY
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State | NH
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Zip | 03053-3566
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Country | US
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Telephone | 603-207-3563
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 683
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City | WINDHAM
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State | NH
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Zip | 03087-0683
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Country | US
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Telephone | 603-207-3563
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SERENA J VEROLLA
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Credential | APRN
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Telephone | 603-207-3563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 046137-23
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License Number State | NH
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