Individual
MS. RITA M MANDERSCHEID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN9165479
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
ARPN9165479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022971600
—
FL
01
—
RN822
HFMG MA
FL
Enumeration date
05/09/2016
Last updated
11/30/2023
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