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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MANDACINA

Active

NICOLE MANDACINA is a Nurse Practitioner healthcare provider located in INDEPENDENCE, Missouri. NPI 1629621941 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · INDEPENDENCE, MO

Registration Details

NPI Number
1629621941
Provider Type
Individual
Gender
Female
NPI Issued
Jul 17, 2019 (7.078875348934 yrs)
Last Updated
Apr 14, 2025
Licenses
53-80676 (KS)
2019027103 (MO)

Practice Information

Address
19550 E 39TH ST S STE 215
INDEPENDENCE, MO, 640572326
Browse MO providers · Browse ZIP 64057
Phone
8164616837
Fax
8168331760
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in INDEPENDENCE, MO

Name Credential NPI
MS. AVA M FERREIRA APRN, FNP-BC 1245208537
HARRIET L YURKOVICH A.R.N.P. 1215989181
JANE E. GARNEY ARNP 1336184654
TARA M LEA ARNP 1043246812
VADSANA K SMITH APRN 1669540357
JILLIAN MOORE KING NP-C 1679736235
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.