Individual
JONNA PRENDVILLE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
7 PROSPECT ST, NASHUA, NH 03060-3921
(603) 889-6147
(603) 883-1486
Mailing address
7 PROSPECT ST, NASHUA, NH 03060-3921
(603) 889-6147
(603) 883-1486
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
027429-23-08
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
40Y001369NH03
BC/BS PROVIDER NUMBER
NH
Enumeration date
07/29/2005
Last updated
07/08/2007
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