Individual
MANDY CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
(928) 855-8185
Mailing address
101 CIVIC CENTER LN, LAKE HAVASU CITY, AZ 86403-5607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
332482
AZ
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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