Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BEVERLY MANDOLPH
Active Sole ProprietorBEVERLY MANDOLPH is a Bus healthcare provider located in LA PLACE, Louisiana. NPI 1164075297 is currently active in the NPPES registry. Verify at CMS.
Bus · LA PLACE, LA
Registration Details
- NPI Number
- 1164075297
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 18, 2019 (7.0614751773787 yrs)
- Last Updated
- Jul 18, 2019
- Sole Proprietor
- Yes
Practice Information
- Address
-
432 CORRINE CTLA PLACE, LA, 700683214Browse LA providers · Browse ZIP 70068
- Phone
- 5047010385
- Primary Specialty
-
Bus
343900000X
Other Bus Providers in LA PLACE, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. KYAN JENKINS THOMAS | — | 1710308481 |
| DARTANYAN COLVON | — | 1699231308 |
| MR. DERRIUS UNGELL TAYLOR I | — | 1790343606 |
| MS. TAMARA PATRICE WISE | — | 1912659434 |
| JEVON WALI GRAY SR. | — | 1225785371 |
| MRS. LOUKISHA M MORRIS | — | 1932839925 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.