Mandy Nicole Fawcett, PA-C,
Physician Assistant in Catonsville, MD. Individual provider (NPI-1).
NPI number1669929451
StatusActive
Last updated in NPPESNov 11, 2022
Details
- NPI
- 1669929451
- Entity type
- Individual (NPI-1)
- Name
- Mandy Nicole Fawcett
- Credential
- PA-C,
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 8, 2016
- Certification date
- Nov 11, 2022
- Last updated
- Nov 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | C06237 | MD | Yes |
Practice location
910 Frederick RdCatonsville, MD 21228-4516
Phone 410-644-1880 · Fax 410-646-3623
Mailing address
910 Frederick RdCatonsville, MD 21228-4516
Phone 410-644-1880 · Fax 410-646-3623
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All 24 Physician Assistant providers in Catonsville · All 1,614 providers in Catonsville
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