Individual
MANDY LEE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1004 DRESSER CT STE 102, RALEIGH, NC 27609-7325
(919) 556-1008
Mailing address
7601 MATHERLY DR, WAKE FOREST, NC 27587-8767
(949) 310-2998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5021610
NC
Other
Enumeration date
08/15/2024
Last updated
02/13/2025
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