Individual provider · Type 1 NPI
Michael Ryan Mandrell, APRN
Acute Care Nurse Practitioner · Peoria, IL
NPI number
1528537388
Active
Practice location
530 NE Glen Oak Ave
Peoria, IL 61637-0001
Mailing address
101 East St
Morton, IL 61550-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner Primary | 363LA2100X | 209015693 (IL) |
Acute Care Nurse Practitioner: Definition to come...
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About NPI 1528537388
Michael Ryan Mandrell, APRN's National Provider Identifier is 1528537388, issued on Nov 21, 2018. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Peoria, IL. The record was last updated on Oct 1, 2026.