Individual provider · Type 1 NPI

Tasha Lynn Mandeville, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Lowell, MA

NPI number 1669199477 Active

Practice location

1 Hospital Dr
Lowell, MA 01852-1311

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XRN2311066 (MA)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1669199477

Tasha Lynn Mandeville, PMHNP-BC's National Provider Identifier is 1669199477, issued on Oct 21, 2022. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lowell, MA. The record was last updated on Oct 21, 2022.