Active NPIIndividual provider

Tasha L Mandeville, PMHNP-BC

Nurse Practitioner, Psych/Mental Health in Lowell, Massachusetts

NPI Number1669199477
Practice location
1 Hospital Dr, Lowell, MA 01852-1311
Fax
—
Last updated
October 21, 2022

Tasha Lynn Mandeville is a Nurse Practitioner, Psych/Mental Health based in Lowell, MA. Tasha Lynn Mandeville practices in Lowell, MA and has the professional credentials of PMHNP-BC. The NPI Number for Tasha Lynn Mandeville is 1669199477 and holds a License No. RN2311066 (MA). The current practice location address for Tasha Lynn Mandeville is 1 Hospital Dr, Lowell, MA 01852-1311 and can be reached out via phone at 978-937-6000.

Provider Profile Details

NPI Number
1669199477
Provider Name
Tasha Lynn Mandeville
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1 Hospital Dr, Lowell, MA 01852-1311
Phone Number
978-937-6000
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Sole Proprietor
No
Provider Enumeration Date
October 21, 2022
Last Update Date
October 21, 2022
Certification Date
October 6, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Hospital Dr
Lowell, MA 01852-1311
City
Lowell
Zip
01852-1311
Phone Number
978-937-6000
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
1 Hospital Dr
Lowell, MA 01852-1311
City
Lowell
State
MA
Zip
01852-1311
Phone Number
978-937-6000

License Information

License Number
RN2311066
License State
MA
Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tasha L Mandeville, PMHNP-BC?

The NPI number of Tasha L Mandeville, PMHNP-BC is 1669199477. It was assigned on October 21, 2022 and is currently active in the NPPES registry.

What is the specialty of Tasha L Mandeville, PMHNP-BC?

Tasha L Mandeville, PMHNP-BC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X), licensed in MA under license number RN2311066.

Where does Tasha L Mandeville, PMHNP-BC practice?

The practice location is 1 Hospital Dr, Lowell, MA 01852-1311. The office can be reached at 978-937-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669199477 directly on the NPPES registry website.

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