MANDI M DIXON


Address: 5312 Heidi Ln, Brewerton, NY 13029-9787
Phone: 3156680323

MANDI M DIXON (NPI# 1730360819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730360819
Entity Type Individual
Full Name MANDI M DIXON
Credential RN
Practice Address 5312 Heidi Ln
Brewerton
NY 13029-9787
Practice Telephone 3156680323
Enumeration Date 2007-11-17
Last Update Date 2007-11-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WP0200X Registered Nurse
Specialization: Pediatrics
535402 NY Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02709355 05

Other Providers MANDI DIXON

NPI Name Taxonomy Address Enumeration
1982955472 Mandi Lea Dixon Behavioral Analyst 602 Sw 38th St, Lawton, OK 73505-6912 2012-09-25

Office Location

Street Address 5312 HEIDI LN
City BREWERTON
State NY
Zip Code 13029-9787

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Taxonomy Information

Taxonomy Code 163WP0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Pediatrics

Taxonomy Definition

Definition to come...

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Competitor

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City BREWERTON
Zip Code 13029

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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