Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACEY ANN MANDERSON
Active Sole ProprietorSTACEY ANN MANDERSON is a Community Health Worker healthcare provider located in PALM BAY, Florida. NPI 1417630807 is currently active in the NPPES registry. Verify at CMS.
Community Health Worker · PALM BAY, FL
Registration Details
- NPI Number
- 1417630807
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 10, 2023 (3.0542812656404 yrs)
- Last Updated
- Aug 10, 2023
- Sole Proprietor
- Yes
Practice Information
- Address
-
985 CALIGULA AVE SEPALM BAY, FL, 329094754Browse FL providers · Browse ZIP 32909
- Phone
- 3214196945
- Primary Specialty
-
Community Health Worker
172V00000X
Other Community Health Worker Providers in PALM BAY, FL
| Name | Credential | NPI |
|---|---|---|
| DEANNALYNN CENKNER | — | 1235387861 |
| ALEXANDER GINWRIGHT | — | 1699049189 |
| JOAN ROWE | — | 1588318075 |
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.