Mandaza, Magdaline

Mandaza, Magdaline is an individual health care provider with primary practice located at 3475 N Saratoga St , Oak Harbor WA 98278-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Mandaza, Magdaline can be contacted via phone (360) 257-9484.

Contact Information

Primary practice address
3475 N Saratoga St Oak Harbor WA 98278-0001
Phone: (360) 257-9484
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 61126076 Washington
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X N261131880 Washington

Profile Details

NPI number 1881290583
LBN Legal business name Mandaza, Magdaline
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2020
Last updated Nov 22nd, 2022 - about 4 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881290583 NPPES
Washington Other 1881290583 PSYCHIATRY
Washington MEDICAID 61126076 PSYCHIATRY
Washington Other AP61126076 PSYCHIATRY

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