Gourdin, Heather R

Gourdin, Heather R is an individual health care provider with primary practice located at 80 Highland Street , Laconia NH 03246-3235. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gourdin, Heather R can be contacted via phone (603) 524-5151.

Contact Information

Primary practice address
80 Highland Street Laconia NH 03246-3235
Phone: (603) 524-5151
Fax: (603) 527-7184
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X 036635-23 New Hampshire
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 364SN0000X AP4716 Arizona

Profile Details

NPI number 1588872576
LBN Legal business name Gourdin, Heather R
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Nov 24th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588872576 NPPES
Georgia MEDICAID 003143602B
Georgia MEDICAID 010583800

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