Healthcare Provider Details

I. General information

NPI: 1063328748
Provider Name (Legal Business Name): MANDI CHRISTINE ANDERSON MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 CORTE CANALETTE
BAKERSFIELD CA
93309-7129
US

IV. Provider business mailing address

1409 CORTE CANALETTE
BAKERSFIELD CA
93309-7129
US

V. Phone/Fax

Practice location:
  • Phone: 661-330-9488
  • Fax:
Mailing address:
  • Phone: 661-330-9488
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number95041070
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: