Individual
HEATHER MARIE MANDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
250 PLEASANT ST., CONCORD, NH 03301-7559
(603) 789-9103
(603) 227-7832
Mailing address
250 PLEASANT ST., CONCORD, NH 03301-7559
(603) 789-9103
(603) 227-7832
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
059405-23
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3095218
—
NH
Enumeration date
09/30/2013
Last updated
11/12/2024
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