MANUEL MANDAC NPI 1881193043

NPI Information

  • NPI: 1881193043
  • Provider Name: MANUEL MANDAC
  • Classification: Nurse Practitioner - 363LG0600X
  • Specialization: Gerontology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25 HIDDEN PINES CIR
    MERIDEN, CT
    ZIP 06451
  • Phone: (203) 599-8207

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NPI Details

Manuel Mandac is a gerontology nurse practitioner in Meriden, CT with 8 years of experience. Manuel Mandac NPI is 1881193043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

25 HIDDEN PINES CIR
MERIDEN, CT
ZIP 06451-212
Phone: (203) 599-8207

The NPI 1881193043 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 2/2/2018 and was last updated on 2/2/2018.

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
1363LG0600XNurse PractitionerGerontology7432CONNECTICUTYes

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: 3/30/2025

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