MANDY KWON NP NPI 1548278443

NPI Information

  • NPI: 1548278443
  • Provider Name: MANDY KWON, NP
  • Classification: Nurse Practitioner - 363LA2100X
  • Specialization: Acute Care
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 N 12TH ST
    #518
    PHOENIX, AZ
    ZIP 85006
  • Phone: (602) 257-9488

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NPI Details

Mandy Kwon, NP is an acute care nurse practitioner in Phoenix, AZ with 22 years of experience. Mandy Kwon, NP NPI is 1548278443. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 N 12TH ST
#518
PHOENIX, AZ
ZIP 85006
Phone: (602) 257-9488
Fax: (602) 254-4258

The NPI 1548278443 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 9/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2100XNurse PractitionerAcute CareR212273MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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