Ilnyckyj, Mandy Michelle

Ilnyckyj, Mandy Michelle is an individual health care provider with primary practice located at 302 E James Lee Blvd , Crestview FL 32539-2827. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ilnyckyj, Mandy Michelle can be contacted via phone (850) 682-1002.

Contact Information

Primary practice address
302 E James Lee Blvd Crestview FL 32539-2827
Phone: (850) 682-1002
Fax: (850) 689-4412
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9328758 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1-158696 Alabama

Profile Details

NPI number 1720566482
LBN Legal business name Ilnyckyj, Mandy Michelle
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2018
Last updated Jul 3rd, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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