Individual
MANDI L. FILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
523 ROSE LN, WICKENBURG, AZ 85390-1448
(928) 668-1845
(289) 684-7457
Mailing address
523 ROSE LN, WICKENBURG, AZ 85390-1448
(928) 668-1833
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AP8073
AZ
363LA2200X
Adult Health Nurse Practitioner
COA.16305-NP
OH
Other
Enumeration date
08/22/2014
Last updated
07/26/2022
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