Doctor Name: | MANDY RENEE SCHIEFELBEIN |
NPI Number: | 1043449309 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP60098621 |
Business Practice Address: | 512 N Young St Suite C Kennewick, WA - 993367806 |
Business Phone Number: | 5097832000 |
Business Fax Number: | 5097832008 |
Mailing Address: | 560 Gage Blvd 203, RICHLAND |
State: | WA |
Postal Code: | 993528650 |
Phone Number: | 5099423627 |
Fax Number: | 5099422268 |
NPI Enumeration Date: | 07/08/2009 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP60098621 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |