Individual
MANDY PERHACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
506 STATE RD NW, WARREN, OH 44483-1628
(501) 620-6493
Mailing address
506 STATE RD NW, WARREN, OH 44483-1628
(501) 620-6493
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202223475
OH
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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