Individual provider · Type 1 NPI
Nicole Mandacina
Nurse Practitioner · Independence, MO
Practice location
19550 E 39th St S Ste 215
Independence, MO 64057-2326
Fax (816) 833-1760
Mailing address
9015 N Myrtle Ave
Kansas City, MO 64156-1216
Other practice locations
- 4401 Wornall Rd, Kansas City, MO 64111-3220 · (816) 932-2000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 53-80676 (KS) |
| Nurse Practitioner Primary | 363L00000X | 2019027103 (MO) |
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
Other nurse practitioner providers in Independence
- Tara M. Lea, ARNPNurse Practitioner Independence, MO NPI 1043246812
- Trisha Anne Cockrell, FNP-CNurse Practitioner Independence, MO NPI 1073971909
- Tracy GieseNurse Practitioner Independence, MO NPI 1124492608
- Brian E. Thompson, NPNurse Practitioner Independence, MO NPI 1144554221
- Harriet L. Yurkovich, A.R.N.P.Nurse Practitioner Independence, MO NPI 1215989181
- Ava M. Ferreira, APRN, FNP-BCNurse Practitioner Independence, MO NPI 1245208537
- Rachel Anne Koehler, APRNNurse Practitioner Independence, MO NPI 1255027991
- Kacy Sue Warner, NPNurse Practitioner Independence, MO NPI 1265997290
About NPI 1629621941
Nicole Mandacina's National Provider Identifier is 1629621941, issued on Jul 17, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Independence, MO. The record was last updated on Apr 14, 2025.