Individual
MRS. MANDI ANN TROLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
3761 N STATE ROUTE 1 17, MOMENCE, IL 60954-2400
(815) 472-3923
(815) 472-2816
Mailing address
3761 DIXIE HIGHWAY, MOMENCE, IL 60954
(815) 472-3923
(815) 472-2816
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041327676
IL
363LF0000X
Family Nurse Practitioner
Primary
277002012
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
277002012
IL
Other
Enumeration date
09/30/2013
Last updated
02/15/2024
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