Mandaza, Magdaline
Mandaza, Magdaline is an individual health care provider with primary practice located at 3475 N Saratoga St , Oak Harbor WA 98278-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mandaza, Magdaline can be contacted via phone (360) 257-9484.Contact Information
Primary practice address
3475 N Saratoga St
Oak Harbor WA 98278-0001
Phone: (360) 257-9484
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 61126076 | Washington |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | N261131880 | Washington |
Profile Details
NPI number | 1881290583 |
---|---|
LBN Legal business name | Mandaza, Magdaline |
Credentials | NURSE PRACTITIONER |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 8th, 2020 |
Last updated | Nov 22nd, 2022 - about 2 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 | 1881290583 | NPPES |
Washington | Other | 1881290583 | PSYCHIATRY |
Washington | MEDICAID | 61126076 | PSYCHIATRY |
Washington | Other | AP61126076 | PSYCHIATRY |
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