Individual provider · Type 1 NPI

Mandie L. Maddox, FNP

Family Nurse Practitioner · Plymouth, IN

NPI number 1861232142 Active

Practice location

2855 Miller Dr Ste 205
Plymouth, IN 46563-8093

Mailing address

16597 18B Rd
Culver, IN 46511-9733

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X28185360A (IN)

Family Nurse Practitioner: Definition to come...

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About NPI 1861232142

Mandie L. Maddox, FNP's National Provider Identifier is 1861232142, issued on May 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Plymouth, IN. The record was last updated on Jul 19, 2024.