Organization
MANDYS PRIMARY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY R ERWIN DNP (DNP)
(225) 791-2400
Entity
Organization
Contact information
Practice address
35701 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0548
(225) 791-2400
Mailing address
35701 LA HIGHWAY 16, DENHAM SPRINGS, LA 70706-0548
(225) 791-2400
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP04970
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1332178
—
LA
01
—
MB2636530
NPI INDIVIDUAL
LA
Enumeration date
08/27/2014
Last updated
02/18/2025
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