Provider Demographics
NPI:1669457438
Name:LENAHAN, JOYCE E (ARNP)
Entity Type:Individual
Prefix:
First Name:JOYCE
Middle Name:E
Last Name:LENAHAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 DREAM LAKE DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NH
Mailing Address - Zip Code:03031-1806
Mailing Address - Country:US
Mailing Address - Phone:603-672-0788
Mailing Address - Fax:
Practice Address - Street 1:389 NASHUA ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:NH
Practice Address - Zip Code:03055-4919
Practice Address - Country:US
Practice Address - Phone:603-673-8480
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0208112306363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30004301Medicaid
NH30004301Medicaid
NHR74569Medicare UPIN