Individual provider · Type 1 NPI

Mandy Demerchant, DNP, APRN

Gerontology Nurse Practitioner · New Haven, CT

NPI number 1366994956 Active

Practice location

55 Park St
New Haven, CT 06511-5474

Fax (203) 200-3390

Other practice locations

  • 333 Budlong Rd, Cranston, RI 02920-6337 · (401) 943-4530

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200XAPRN01475 (RI)
Gerontology Nurse Practitioner 363LG0600XAPRN01475 (RI)
Primary Care Nurse Practitioner 363LP2300XAPRN01475 (RI)
Gerontology Nurse Practitioner Primary 363LG0600X6991 (CT)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1366994956

Mandy Demerchant, DNP, APRN's National Provider Identifier is 1366994956, issued on Oct 29, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in New Haven, CT. The record was last updated on Mar 17, 2018.