Individual
MS. MAGDALINE MANDAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Mailing address
WOMACK ARMY MEDICAL CENTER 2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310-0001
(910) 907-8922
(910) 907-6069
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
N261131880
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881290583
PSYCHIATRY
WA
01
—
AP61126076
MILITARY AND CIVILIAN
WA
Enumeration date
12/08/2020
Last updated
08/01/2025
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