Organization Name: | SERENA VEROLLA, PLLC |
NPI Number: | 1255727830 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SERENA JEAN VEROLLA (PSYCHIATRIC NURSE PRACTITIONER) |
Mailing Address: | 2 Village Green Rd Bldg 2 Suite B3 Hampstead |
State: | NH US |
Postal Code: | 038415209 |
Phone Number: | 6034891254 |
Fax Number: | 6034892050 |
NPI Enumeration Date: | 04/10/2015 |
NPI Last Update Date: | 04/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0808X |
License Number: | 046137-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |