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Individual

HEATHER R GOURDIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
80 HIGHLAND STREET, LACONIA, NH 03246-3235
(603) 524-5151
(603) 527-7184
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038

Taxonomy

Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
036635-23
NH
364SN0000X
Neonatal Clinical Nurse Specialist
AP4716
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003143602B
GA
05
010583800
FL
Enumeration date
05/21/2007
Last updated
11/24/2015
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