Individual
MRS. MANDELLE DREU DOERSTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 N 16TH ST STE 240, NEW CASTLE, IN 47362-4319
(765) 521-1461
(765) 599-3101
Mailing address
PO BOX 568, NEW CASTLE, IN 47362-0568
(765) 521-1516
(765) 599-3131
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71002023A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000682072
ANTHEM
—
05
—
0067498
—
OH
05
—
201004400
—
IN
Enumeration date
02/28/2007
Last updated
09/09/2020
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