Individual
KATHERINE A MANDIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
200 COPELAND DR, MANSFIELD, MA 02048-1225
(508) 339-4144
(508) 261-9940
Mailing address
200 COPELAND DR, MANSFIELD, MA 02048-1225
(508) 339-4144
(508) 261-9940
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
137619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP5026
MABC
MA
Enumeration date
09/05/2006
Last updated
07/08/2007
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