Individual
NICOLE ANDREA MANDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
801 N 29TH ST, BILLINGS, MT 59101-0905
(406) 238-2500
Mailing address
3141 E COPPER RIDGE LOOP, BILLINGS, MT 59106-2251
(303) 669-7845
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
41463
MT
207V00000X
Obstetrics & Gynecology Physician
56276
CO
207V00000X
Obstetrics & Gynecology Physician
Primary
MED-PHYS-LIC-41463
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2011
Last updated
02/19/2024
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