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NPI Code Detail

MEDICARE: MANDY RENEE SCHIEFELBEIN ARNP

MEDICARE: MANDY RENEE SCHIEFELBEIN ARNP
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
1363L00000XNurse PractitionerAP60098621WA
2363LF0000XFamily Nurse PractitionerAP60098621WA

General Provider Information

NPI Number : 1043449309
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDY RENEE SCHIEFELBEIN ARNP
Provider Business Mailing Address
First Line : 550 GAGE BLVD STE 101
Second Line :
City : RICHLAND
State : WA
Zip : 99352-9532
Country : US
Telephone Number : 509-942-3627
Fax Number : 509-627-2983
Provider Business Practice Location Address
First Line : 6710 W OKANOGAN PL
Second Line :
City : KENNEWICK
State : WA
Zip : 99336-8001
Country : US
Telephone Number : 509-942-2528
Fax Number : 509-783-2008
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2009
Last Update Date : 12/13/2022

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