National Provider Identifier

Rachelle Kay Mandigo, LPN

Rachelle Kay Mandigo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Holley, NY and a listed phone number of (585) 638-5360.

NPI 1649464868Holley, NYLicensed Practical Nurse

Profile Overview

NPI
1649464868
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
August 30, 2007
Last Updated
August 30, 2007

Practice Location

  • 4384 Hulberton RD
  • Holley, NY 14470-9061

Phone: (585) 638-5360

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1649464868
Entity Type
Individual
Last Name
Mandigo
First Name
Rachelle
Middle Name
Kay
Credential
LPN
Mailing Street Address
4384 Hulberton RD
Mailing City
Holley
Mailing State
NY
Mailing ZIP Code
14470-9061
Mailing Country
US
Mailing Phone
(585) 638-5360
Practice Street Address
4384 Hulberton RD
Practice City
Holley
Practice State
NY
Practice ZIP Code
14470-9061
Practice Country
US
Practice Phone
(585) 638-5360
Enumeration Date
August 30, 2007
Last Updated
August 30, 2007
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)