Individual provider · Type 1 NPI

Plaxedes T. Mandibaya, APRN-FNP-BC

Nurse Practitioner · Snellville, GA

NPI number 1750964680 Active

Practice location

3449 Allie Dr
Snellville, GA 30039-7105

Call (404) 748-3425 Map

Mailing address

288 Spring Rd
Covington, GA 30016-1779

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XRN245629 (GA)

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…

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About NPI 1750964680

Plaxedes T. Mandibaya, APRN-FNP-BC's National Provider Identifier is 1750964680, issued on Apr 29, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Snellville, GA. The record was last updated on Apr 29, 2021.