Individual
NATHAN MANDRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
110 S COLLEGE AVE STE 205, OXFORD, OH 45056-2098
(513) 995-4772
(513) 995-4776
Mailing address
110 S COLLEGE AVE STE 205, OXFORD, OH 45056-2098
(513) 995-4772
(513) 995-4776
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.007583RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
RN
OH
Other
Enumeration date
11/29/2021
Last updated
04/10/2026
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