Active NPIIndividual provider

Mrs. Mandy S Liberty, RN

Registered Nurse in Mays Landing, New Jersey

NPI Number1205334059
Practice location
5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330
Fax
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Last updated
January 26, 2018

Mandy S Liberty is a Registered Nurse based in Mays Landing, NJ. Mandy S Liberty practices in Mays Landing, NJ and has the professional credentials of RN. The NPI Number for Mandy S Liberty is 1205334059 and holds a License No. 26NO11756000 (NJ). The current practice location address for Mandy S Liberty is 5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330 and can be reached out via phone at 609-625-1565.

Provider Profile Details

NPI Number
1205334059
Provider Name
Mandy S Liberty
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330
Phone Number
609-625-1565
Primary Taxonomy
Registered Nurse · 163W00000X
Sole Proprietor
No
Other Names
Ms. Mandy S Tantum (Former Name)
Provider Enumeration Date
January 26, 2018
Last Update Date
January 26, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
5809 Main Street
St Vincent De Paul Regional School
Mays Landing, NJ 08330
Zip
08330
Phone Number
609-625-1565
Mays Landing, NJ 08330Get directions →

Provider Business Mailing Address Details

Address
2250 Hickory Road Suite 240
Plymouth Meeting, PA 19462
City
Plymouth Meeting
State
PA
Zip
19462
Phone Number
800-879-4471

License Information

License Number
26NO11756000
License State
NJ
Taxonomy
Registered Nurse · 163W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Mandy S Liberty, RN?

The NPI number of Mrs. Mandy S Liberty, RN is 1205334059. It was assigned on January 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Mrs. Mandy S Liberty, RN?

Mrs. Mandy S Liberty, RN is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in NJ under license number 26NO11756000.

Where does Mrs. Mandy S Liberty, RN practice?

The practice location is 5809 Main Street, St Vincent De Paul Regional School, Mays Landing, NJ 08330. The office can be reached at 609-625-1565 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205334059 directly on the NPPES registry website.

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