Individual provider · Type 1 NPI

Walter Andrew Jay Mandery, NP

Acute Care Nurse Practitioner · Carmel, IN

NPI number 1457986259 Active

Practice location

13345 Illinois St
Carmel, IN 46032-3318

Fax (317) 396-1346

Other practice locations

  • 2001 W 86th St, Indianapolis, IN 46260-1902 · (317) 338-2345

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X28199259A (IN)
Nurse Practitioner 363L00000X71009973A (IN)
Acute Care Nurse Practitioner Primary 363LA2100X71009973A (IN)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1457986259

Walter Andrew Jay Mandery, NP's National Provider Identifier is 1457986259, issued on Mar 12, 2020. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Carmel, IN. The record was last updated on Mar 17, 2023.