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NPI Code Detail

MEDICARE: MANDI JOHNSON

MEDICARE: MANDI JOHNSON
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
1374700000XTechnicianNE
23747P1801XPersonal Care AttendantNE

General Provider Information

NPI Number : 1346058534
Entity Type Code : Individual
Provider Name (Legal Business Name) : MANDI JOHNSON
Provider Business Mailing Address
First Line : 4606 TERRACE DR
Second Line :
City : OMAHA
State : NE
Zip : 68134-3062
Country : US
Telephone Number : 531-299-2480
Fax Number : 531-299-2499
Provider Business Practice Location Address
First Line : 4606 TERRACE DR
Second Line :
City : OMAHA
State : NE
Zip : 68134-3062
Country : US
Telephone Number : 531-299-2480
Fax Number : 531-299-2499
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2024
Last Update Date : 08/25/2025

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Directions to “ MANDI JOHNSON ” Practice Location

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