Individual
MANDY CORINNE ALTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1373 E STATE ROAD 62 STE 2C, MADISON, IN 47250-7328
(812) 801-0840
(812) 801-0024
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71003745A
IN
363LA2100X
Acute Care Nurse Practitioner
Primary
71003745A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201085400
—
IN
05
—
7100314430
—
KY
Enumeration date
10/13/2011
Last updated
12/08/2025
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