Individual
TASHA LYNN MANDEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1 HOSPITAL DR, LOWELL, MA 01852-1311
(978) 937-6000
Mailing address
1 HOSPITAL DR, LOWELL, MA 01852-1311
(978) 937-6000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2311066
MA
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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