Provider Demographics
NPI:1548692536
Name:NEHRING, MANDI ALEXANDRIA (APRN)
Entity type:Individual
Prefix:MS
First Name:MANDI
Middle Name:ALEXANDRIA
Last Name:NEHRING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MANDI
Other - Middle Name:ALEXANDRIA
Other - Last Name:MCBRAYER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2650 BAHIA VISTA ST STE 303
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-2634
Mailing Address - Country:US
Mailing Address - Phone:941-500-2456
Mailing Address - Fax:833-941-1993
Practice Address - Street 1:2650 BAHIA VISTA ST STE 303
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-2634
Practice Address - Country:US
Practice Address - Phone:941-500-2456
Practice Address - Fax:833-941-1993
Is Sole Proprietor?:No
Enumeration Date:2013-08-01
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9245910363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY0J7ROtherFL BLUE CROSS/BLUE SHIELD
FLHM066ZMedicare PIN