Individual
MANDI K TOMAZIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
101 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-1836
(859) 275-5229
(859) 977-2683
Mailing address
101 PROSPEROUS PL STE 300, LEXINGTON, KY 40509-1836
(859) 275-5229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3014280
KY
363LF0000X
Family Nurse Practitioner
Primary
3014280
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100651400
—
KY
Enumeration date
02/06/2020
Last updated
10/02/2025
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