Individual
MRS. HEATHER MANTYLA HANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3 SONORA DR, CHELMSFORD, MA 01824-4612
(508) 641-2962
Mailing address
3 SONORA DR, CHELMSFORD, MA 01824-4612
(508) 641-2962
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024172006
VA
363LF0000X
Family Nurse Practitioner
Primary
RN2263055
MA
Other
Enumeration date
10/13/2011
Last updated
02/28/2022
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