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NPI Code Detail

MEDICARE: MRS. NATALIE CHRISTINE MANDOLFO APRN

MEDICARE:  MRS. NATALIE CHRISTINE MANDOLFO  APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1364SX0200XOncology Clinical Nurse Specialist275438NE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659364552
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NATALIE CHRISTINE MANDOLFO APRN
Provider Business Mailing Address
First Line : 8303 DODGE ST
Second Line : STE 225
City : OMAHA
State : NE
Zip : 68114
Country : US
Telephone Number : 402-354-5860
Fax Number : 402-354-2350
Provider Business Practice Location Address
First Line : 703 RUBY RD
Second Line :
City : PAPILLION
State : NE
Zip : 68133
Country : US
Telephone Number : 402-505-4938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 07/08/2007

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Directions to “ MRS. NATALIE CHRISTINE MANDOLFO APRN” Practice Location

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