Provider Demographics
NPI:1346960986
Name:HANDEL, WANDA JEAN (MSN, RN, ACCNS-AG)
Entity Type:Individual
Prefix:MRS
First Name:WANDA
Middle Name:JEAN
Last Name:HANDEL
Suffix:
Gender:F
Credentials:MSN, RN, ACCNS-AG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1236 COOKEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:VT
Mailing Address - Zip Code:05039-9558
Mailing Address - Country:US
Mailing Address - Phone:802-272-4996
Mailing Address - Fax:
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-0001
Practice Address - Country:US
Practice Address - Phone:603-650-7031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-01
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH041194-21364SN0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SN0800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistNeuroscience