Provider Demographics
NPI:1760354922
Name:WARD, MANDY MARIE (MSN, APRN, FNP-BC)
Entity type:Individual
Prefix:
First Name:MANDY
Middle Name:MARIE
Last Name:WARD
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7306 MAY HALL DR
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4477
Mailing Address - Country:US
Mailing Address - Phone:425-633-0027
Mailing Address - Fax:
Practice Address - Street 1:8300 PRESTON RD STE 250
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-5530
Practice Address - Country:US
Practice Address - Phone:214-894-5418
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054100163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse