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Individual

MISS EMILY VANDOREN PARDUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, MSN, CPNP, PMHNP

Contact information

Practice address
411 MAIN ST STE 5, YARMOUTH PORT, MA 02675-1843
(617) 564-7459
(508) 205-0127
Mailing address
411 MAIN ST STE 5, YARMOUTH PORT, MA 02675-1843
(617) 564-7459
(508) 205-0127

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP111126
ME
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2262043
MA

Other

Enumeration date
09/15/2010
Last updated
02/29/2024
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