Individual provider · Type 1 NPI

Mary A. Mandziara, NP

Acute Care Nurse Practitioner · Grosse Pointe Woods, MI

NPI number 1669568341 Active

Practice location

19229 Mack Ave, Suite 34
Grosse Pointe Woods, MI 48236-2858

Fax (313) 647-3244

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4704131950 (MI)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1669568341

Mary A. Mandziara, NP's National Provider Identifier is 1669568341, issued on Oct 4, 2006. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Grosse Pointe Woods, MI. The record was last updated on Oct 24, 2014.