Individual provider · Type 1 NPI
Stephanie Mandos, CRNP
Nurse Practitioner · Broomall, PA
Practice location
30 Lawrence Rd Ste 500
Broomall, PA 19008-3301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | SP017283 (PA) |
| Nurse Practitioner Primary | 363L00000X | SP017283 (PA) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
3 other providers at this address
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About NPI 1417472333
Stephanie Mandos, CRNP's National Provider Identifier is 1417472333, issued on Aug 11, 2017. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Broomall, PA. The record was last updated on Sep 4, 2025.