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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 3 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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