Individual provider · Type 1 NPI
Rechanda Mardy
Pediatric Registered Nurse · Los Angeles, CA
NPI number
1073308425
Active
Practice location
4867 W Sunset Blvd
Los Angeles, CA 90027-5969
Mailing address
6161 Fairmount Ave Apt 482
San Diego, CA 92120-3668
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ambulatory Care Registered Nurse | 163WP2201X | 95229100 (CA) |
| Pediatric Registered Nurse Primary | 163WP0200X | 95229100 (CA) |
Pediatric Registered Nurse: Definition to come...
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About NPI 1073308425
Rechanda Mardy's National Provider Identifier is 1073308425, issued on Apr 14, 2025. The primary taxonomy on file is Pediatric Registered Nurse (163WP0200X), and the practice location is in Los Angeles, CA. The record was last updated on Apr 14, 2025.