Doctor Name: | DR. GLORIA GIAVENO STRAUGHN |
NPI Number: | 1700072857 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, CS, BC, PHD |
License Number: | 020052-21 |
Business Practice Address: | 722 Route 3a Suite 15 Bow, NH - 033044010 |
Business Phone Number: | 6032240101 |
Business Fax Number: | 6036682191 |
Mailing Address: | 497 Hooksett Rd, Suite 325 MANCHESTER |
State: | NH |
Postal Code: | 031042632 |
Phone Number: | 6032240101 |
Fax Number: | 6036682191 |
NPI Enumeration Date: | 09/22/2007 |
NPI Last Update Date: | 09/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WP0809X |
License Number: | 020052-21 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NH |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Psych/Mental Health, Adult |
Taxonomy Definition: |