Individual provider · Type 1 NPI

Kseniya Aleksandrovna Mandic, FNP

Family Nurse Practitioner · Palo Alto, CA

NPI number 1447655014 Active

Practice location

875 Blake Wilbur Dr
Palo Alto, CA 94304-2205

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	CNP141101 (ME)
Family Nurse Practitioner Primary	363LF0000X	95003550 (CA)

Family Nurse Practitioner: Definition to come...

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About NPI 1447655014

Kseniya Aleksandrovna Mandic, FNP's National Provider Identifier is 1447655014, issued on Oct 24, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Palo Alto, CA. The record was last updated on Jun 27, 2016.