MANDI NICOLE LAW


Address: 927 Broadway St, Quincy, IL 62301-2719
Phone: 2172238400

MANDI NICOLE LAW (NPI# 1093347429) 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) 1093347429
Entity Type Individual
Full Name MANDI NICOLE LAW
Other Name MANDI NICOLE SYPHERS
Credential FNP
Practice Address 927 Broadway St
Quincy
IL 62301-2719
Mailing Address 1005 Broadway St
Quincy
IL 62301-2834
Practice Telephone 2172238400
Mailing Telephone 2172238400
Enumeration Date 2020-02-04
Last Update Date 2020-02-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
209.020755 IL Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 927 BROADWAY ST
City QUINCY
State IL
Zip Code 62301-2719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164429957 Venu Reddy Internal Medicine 927 Broadway St, Suite 204, Quincy, IL 62301-2719 2005-07-07
1932716925 Olivia Louise Patterson Registered Nurse 927 Broadway St, Quincy, IL 62301-2719 2020-09-24
1598375727 Marissa Jo Lumpkin Behavior Technician 927 Broadway St, Quincy, IL 62301-2719 2020-08-03
1720618457 Laura Starman Nurse Practitioner 927 Broadway St, Quincy, IL 62301-2719 2020-01-22
1033761234 Ashley Monita Smith Social Worker 927 Broadway St, Quincy, IL 62301-2719 2019-07-09
1659834273 Debra Anna Derhake Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1881157493 Erin Katharine Vonderhaar Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1598228116 Aleshia Dawn Gerding Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1992268510 Dawn Crabtree Health Educator 927 Broadway St, Quincy, IL 62301-2719 2019-04-10
1093274524 Stacy Lowary Nurse Practitioner 927 Broadway St, Quincy, IL 62301-2719 2019-03-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356969471 Lutheran Child and Family Service of Illinois Foster Care Agency 1400 N. 30th St, Quincy, IL 62301 2020-07-07
1134749716 Bethany Nicole Jumps Pharmacist Broadway St & N 11th St, Quincy, IL 62301 2020-04-23
1043844293 S.crider Construction An Supply Corp. Contractor 529 Woodbridge Dr., Quincy, IL 62301 2020-02-26
1245862002 Quincy Physicians & Surgeons Clinic, Sc Clinic/Center 3301 Broadway St., Quincy, IL 62301 2020-02-10
1043851488 West Central Illinois Nutrition In Home Supportive Care 639 York St. Room 333, Quincy, IL 62301 2019-10-07
1861986549 Quincy Physicians & Surgeons Clinic, Sc Internal Medicine 3347 Broadway St, Quincy, IL 62301 2018-06-18
1194255083 Michael Andrew Behrens Nurse Practitioner Broadway and 11th Street, Quincy, IL 62301 2017-06-14
1770987323 Kirsty Yvonne Reed Counselor 205 S. 24th Street, Chaddock, Quincy, IL 62301 2014-10-10
1114234499 Dale D. Shahan Dds Ltd Dentist 636 Hampshire Suite 102, Quincy, IL 62301 2010-09-08
1730314071 James D Kaufmann Pharmacist 14th & Broadway, Quincy, IL 62301 2009-05-15
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053910257 Lauren Michele Flynn Nurse Practitioner 173 Sumner St, Quincy, MA 02169-7003 2020-10-20
1447867601 Caitlin Lynch Nurse Practitioner 41 Pilgrim Rd, Quincy, MA 02169-1210 2020-09-30
1881202380 Julie Ann Dorgan Nurse Practitioner 11 Lee St, Quincy, MA 02169-2830 2020-07-21
1386265551 Alexis Schantz Nurse Practitioner 4800 Maine St Ste 48-108, Quincy, IL 62305-5875 2020-04-29
1346884459 Laurie Ann Bohne Nurse Practitioner 1229 Spring Lake Rd, Quincy, IL 62305-7763 2019-10-31
1497305486 Kristina Anele Jarvis Nurse Practitioner 2 Hancock St Apt 208, Quincy, MA 02171-1760 2019-09-12
1699330399 Amanda Hubner Nurse Practitioner 1707 N 12th St Bldg 29m, Quincy, IL 62301-1355 2019-05-08
1356813398 Deann L Isherwood Nurse Practitioner 1250 Hancock St Fl 3, Quincy, MA 02169-4339 2018-12-31
1952813073 Bing Xiao Nurse Practitioner 142 Quincy Shore Dr Unit 152, Quincy, MA 02171-2924 2017-10-30
1366960130 Jessica Elizabeth Althide Nurse Practitioner 927 Broadway St Ste G31, Quincy, IL 62301-2724 2017-08-31
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Competitor

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City QUINCY
Zip Code 62301

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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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