Individual
MANDIE CLOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
AP06446
LA
363LA2100X
Acute Care Nurse Practitioner
06446
LA
363LP0200X
Pediatric Nurse Practitioner
AP06446
LA
Other
Enumeration date
05/04/2011
Last updated
10/14/2019
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