Provider Demographics
NPI:1770888760
Name:PARFITT, MANDY M (ARNP)
Entity type:Individual
Prefix:MRS
First Name:MANDY
Middle Name:M
Last Name:PARFITT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 SE 16TH PL
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33990-1329
Mailing Address - Country:US
Mailing Address - Phone:239-829-1747
Mailing Address - Fax:239-829-1746
Practice Address - Street 1:206 SE 16TH PL
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33990-1329
Practice Address - Country:US
Practice Address - Phone:239-829-1747
Practice Address - Fax:239-829-1746
Is Sole Proprietor?:No
Enumeration Date:2011-01-21
Last Update Date:2011-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9315859363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics