Individual provider · Type 1 NPI
Mandi Faddis
Other Technician · Stilwell, OK
NPI number
1912454075
Active
Practice location
Rt 3 Box 2510
Stilwell, OK 74960
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Technician Primary | 247200000X | None listed |
Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
About NPI 1912454075
Mandi Faddis's National Provider Identifier is 1912454075, issued on Sep 7, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Stilwell, OK. The record was last updated on Sep 7, 2016.