Mandell, Laura
Mandell, Laura is an individual health care provider with primary practice located at 2701 Tamarack Ave , South Windsor CT 06074-5562. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mandell, Laura can be contacted via phone (508) 259-6656.Contact Information
Primary practice address
2701 Tamarack Ave
South Windsor CT 06074-5562
Phone: (508) 259-6656
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Pediatrics | 163WP0200X | 134948 | Massachusetts |
Nursing Service Providers / Pediatrics | 163WP0200X | 134948 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 9678 | Connecticut |
Profile Details
NPI number | 1043892094 |
---|---|
LBN Legal business name | Mandell, Laura |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 28th, 2021 |
Last updated | Jun 9th, 2021 - about 4 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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