Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MANDY SUZANNE MOONEYHAM, PA-C
ActiveMANDY SUZANNE MOONEYHAM, PA-C is a Surgical Physician Assistant healthcare provider located in FAYETTEVILLE, Arkansas. NPI 1831391655 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · FAYETTEVILLE, AR
Registration Details
- NPI Number
- 1831391655
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 4, 2007 (19.189903850855 yrs)
- Last Updated
- Nov 22, 2013
- Licenses
-
PA-329 (AR)2007002747 (MO)P-T0716 (AR)2266 (OK)
Practice Information
- Address
-
3053 N COLLEGE AVEFAYETTEVILLE, AR, 727033417Browse AR providers · Browse ZIP 72703
- Phone
- 4794632000
- Fax
- 4794424518
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in FAYETTEVILLE, AR
| Name | Credential | NPI |
|---|---|---|
| MR. THOMAS GODON SIMMONS | P.A. | 1366422404 |
| MR. GREGORY A. EHRLER | PA-C | 1326144320 |
| FARRAH A JENNINGS | PA-C | 1316485857 |
| MEGAN GROVE | PA-C | 1609485663 |
| MOOREA LEIGH MASSA | PA-C | 1013664093 |
| MR. TAYLOR JARED SITES | PA-C | 1154031987 |
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.