Individual
MS. PAMELA MARIE GOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
AVH 59 PAGE HILL RD, BERLIN, NH 03570
(603) 752-2200
(843) 777-8705
Mailing address
59 PAGE HILL RD, BERLIN, NH 03570
(603) 752-2200
(843) 777-8705
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
034214-23
NH
367500000X
Certified Registered Nurse Anesthetist
APN 3035
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN1501
—
SC
Enumeration date
09/13/2006
Last updated
01/30/2025
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