Individual
MS. MANDY JEAN LADNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3 WOODLAND RD, SUITE 216, STONEHAM, MA 02180-1711
(781) 979-0661
Mailing address
3 WOODLAND RD, SUITE 216, STONEHAM, MA 02180-1711
(781) 979-0661
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
253102
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00713143
MEDICARE RAILROAD
MA
Enumeration date
08/28/2008
Last updated
02/16/2011
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