Maddox, Mandisa
Maddox, Mandisa is an sole proprietor health care provider with primary practice located at 209 Hickory St , New Smyrna Beach FL 32168-8189. She recently has only one registered license in Nursing Service Related Providers / Nurse's Aide, which is considered as her primary health care specialty. Maddox, Mandisa can be contacted via phone (386) 576-4198.Contact Information
Primary practice address
209 Hickory St
New Smyrna Beach FL 32168-8189
Phone: (386) 576-4198
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Nurse's Aide | 376K00000X | 120728 | Florida |
Profile Details
NPI number | 1508464157 |
---|---|
LBN Legal business name | Maddox, Mandisa |
Credentials | Certified in Nursing Administration (CNA) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 15th, 2020 |
Last updated | Dec 19th, 2020 - 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.
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