Provider Demographics
NPI:1982098851
Name:PARONISH, MANDI (BSN, RN, CPN)
Entity Type:Individual
Prefix:
First Name:MANDI
Middle Name:
Last Name:PARONISH
Suffix:
Gender:F
Credentials:BSN, RN, CPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 NUMBER NINE RD
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:PA
Mailing Address - Zip Code:16646-6611
Mailing Address - Country:US
Mailing Address - Phone:814-934-8783
Mailing Address - Fax:
Practice Address - Street 1:2214 BIGLER AVE
Practice Address - Street 2:
Practice Address - City:NORTHERN CAMBRIA
Practice Address - State:PA
Practice Address - Zip Code:15714
Practice Address - Country:US
Practice Address - Phone:814-934-8783
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-03-27
Last Update Date:2015-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN571515163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics