# MANDI NICOLE WILCOX

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467067207
- **Gender:** F
- **Credential:** ARNP, RN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN60435024 | WA | — |
| 363L00000X | Nurse Practitioner | AP61104820 | WA | Yes |

## Other

- **Enumeration date:** 09/09/2020
- **Last updated:** 11/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | RN60435024 | WASHINGTON STATE DEPARTMENT OF HEALTH | WA |