Individual
MANDIE S BURDETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHNP-BC
Contact information
Practice address
100 GROVE ST STE 119, WORCESTER, MA 01605-2630
(774) 420-2060
Mailing address
2 BLEEKER ST, WORCESTER, MA 01604-3721
(774) 242-0222
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN2335585
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2335585
MA
Other
Enumeration date
03/06/2023
Last updated
04/22/2024
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