Provider Demographics
NPI:1952805343
Name:ROBERTA STANHOPE ARNP PMH CNS BC PLLC
Entity Type:Organization
Organization Name:ROBERTA STANHOPE ARNP PMH CNS BC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERTA
Authorized Official - Middle Name:
Authorized Official - Last Name:STANHOPE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP,PMH,CNS,BC,PLLC
Authorized Official - Phone:603-651-0293
Mailing Address - Street 1:13 JENKINS CT STE 220
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03824-2324
Mailing Address - Country:US
Mailing Address - Phone:603-651-0293
Mailing Address - Fax:603-815-4944
Practice Address - Street 1:13 JENKINS CT STE 220
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NH
Practice Address - Zip Code:03824-2324
Practice Address - Country:US
Practice Address - Phone:603-651-0293
Practice Address - Fax:603-815-4944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH1720231616OtherNPI