Individual provider · Type 1 NPI

Mandy Mansell, NP

Pediatric Nurse Practitioner · Fort Worth, TX

NPI number 1164813416 Active

Practice location

1500 Cooper St
Fort Worth, TX 76104-2710

Fax (682) 885-4004

Mailing address

PO Box 733784
Dallas, TX 75373-3784

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner 363LP2300XAP126904 (TX)
Pediatric Nurse Practitioner Primary 363LP0200X712565 (TX)
Pediatric Nurse Practitioner 363LP0200XAP126904 (TX)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1164813416

Mandy Mansell, NP's National Provider Identifier is 1164813416, issued on Feb 9, 2015. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Fort Worth, TX. The record was last updated on May 14, 2024.