Organization
GRANITE STATE MEN S HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MANDEVILLE (FNP-BC)
(603) 693-2100
Entity
Organization
Contact information
Practice address
282 STATE ROUTE 101 UNIT 2, AMHERST, NH 03031-1706
(603) 693-2100
(603) 679-1046
Mailing address
282 STATE ROUTE 101 UNIT 2, AMHERST, NH 03031-1706
(603) 693-2100
(603) 679-1046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/10/2024
Last updated
08/13/2024
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