Provider Demographics
NPI:1457744344
Name:POGINY, MANDY (APRN)
Entity Type:Individual
Prefix:
First Name:MANDY
Middle Name:
Last Name:POGINY
Suffix:
Gender:F
Credentials:APRN
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Mailing Address - Street 1:101 RIVERFRONT BLVD STE 710
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8812
Mailing Address - Country:US
Mailing Address - Phone:941-776-4000
Mailing Address - Fax:802-334-3281
Practice Address - Street 1:5600 BAYSHORE RD
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-9352
Practice Address - Country:US
Practice Address - Phone:941-721-2020
Practice Address - Fax:941-721-2027
Is Sole Proprietor?:No
Enumeration Date:2015-03-17
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT101.0109990363LF0000X
FLAPRN11024634363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily