Brown, Mandi L
Brown, Mandi L is an individual health care provider with primary practice located at 14800 S Western Ave Ste A , Oklahoma City OK 73170-7107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Brown, Mandi L can be contacted via phone (405) 515-0330.Contact Information
Primary practice address
14800 S Western Ave Ste A
Oklahoma City OK 73170-7107
Phone: (405) 515-0330
Fax: (405) 307-5662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | R0075445 | Oklahoma |
Profile Details
| NPI number | 1033156096 |
|---|---|
| LBN Legal business name | Brown, Mandi L |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jun 30th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033156096 | NPPES |
| Oklahoma | MEDICAID | PENDING |
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