Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHASTA MANDAN, R.N., C.D.E.
ActiveSHASTA MANDAN, R.N., C.D.E. is a Diabetes Educator Nurse healthcare provider located in NEW TOWN, North Dakota. NPI 1386092203 is currently active in the NPPES registry. Verify at CMS.
Diabetes Educator Nurse · NEW TOWN, ND
Registration Details
- NPI Number
- 1386092203
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 1, 2016 (10.162136311155 yrs)
- Last Updated
- Jun 1, 2016
- License
-
R29464 (ND)
Practice Information
- Address
-
1058 COLLEGE DRNEW TOWN, ND, 587639112Browse ND providers · Browse ZIP 58763
- Phone
- 7016277931
- Primary Specialty
-
Diabetes Educator Nurse
163WD0400X
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.