Individual
SANDRINE NDETAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
245 HARTFORD AVE STE 1, BELLINGHAM, MA 02019-3007
(774) 295-4355
(774) 295-4880
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1011418
TX
363LF0000X
Family Nurse Practitioner
113875-23
NH
363LF0000X
Family Nurse Practitioner
RN2391688
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/03/2021
Last updated
03/31/2025
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