Provider Demographics
NPI:1134246358
Name:DAMON, HOPE ELIZABETH (RD, CDE, LD)
Entity type:Individual
Prefix:
First Name:HOPE
Middle Name:ELIZABETH
Last Name:DAMON
Suffix:
Gender:F
Credentials:RD, CDE, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:276 NEWPORT RD
Mailing Address - Street 2:THE GALLERY SUITE 202
Mailing Address - City:NEW LONDON
Mailing Address - State:NH
Mailing Address - Zip Code:03257-5468
Mailing Address - Country:US
Mailing Address - Phone:603-526-2078
Mailing Address - Fax:603-526-2214
Practice Address - Street 1:276 NEWPORT RD
Practice Address - Street 2:THE GALLERY SUITE 202
Practice Address - City:NEW LONDON
Practice Address - State:NH
Practice Address - Zip Code:03257-5468
Practice Address - Country:US
Practice Address - Phone:603-526-2078
Practice Address - Fax:603-526-2214
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-23
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH281133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
2219OtherCIGNA
NH27Y004823NH01OtherANTHEM BC BS OF NH