Most Relevant Information
Provider Data
| NPI Number: | 1003536897 |
| Provider Name: | MANDY PERHACH APRN, CPNP-PC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LP0200X |
| Specialty: | Nurse Practitioner |
| License Number: | 202223475 |
Most Important Dates
| Enumeration Date: | 08/31/2022 |
| Last Updated: | 08/31/2022 |
Provider Practice Location
506 STATE RD NW
WARREN
OH
444831628
Practice Location Phone/Fax
| Phone: | 5016206493 |
| Fax: |
Provider Mailing Location
506 STATE RD NW
WARREN
OH
444831628
Provider Mailing Phone/Fax
| Phone: | 5016206493 |
| Fax: |