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Contact Information

HEATHER R GOURDIN, ARNP
80 HIGHLAND STREET
LACONIA, NH03246-3235
 Phone: 603-524-5151
 Fax: 603-527-7184
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neonatal

363LN0000X 50 Nurse Practitioner
 

Neonatal

364SN0000X 89 Certified Clinical Nurse Specialist
Indicates primary specialty

NPI Profile & details for HEATHER R GOURDIN · (Female)

NPI Number 1588872576
Status Active
Credentials ARNP (Advanced Registered Nurse Practitioner)
Entity Individual
Enumeration date 05/21/2007
Last updated 11/24/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # AP4716
  • NH License # 036635-23
  • FL Medicaid 010583800
  • GA Medicaid 003143602B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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