Individual
STEPHANIE MANDOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
30 LAWRENCE RD STE 500, BROOMALL, PA 19008-3301
(610) 338-2722
Mailing address
30 LAWRENCE RD STE 500, BROOMALL, PA 19008-3301
(610) 338-2722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP017283
PA
363LP2300X
Primary Care Nurse Practitioner
SP017283
PA
Other
Enumeration date
08/11/2017
Last updated
09/04/2025
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