Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sally M Mandichak

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124547930

Sally M Mandichak is a Student in an Organized Health Care Education/Training Program in Reno, Nevada. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
2

Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Reno, NV

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 0101267386 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124547930
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 12, 2017
Last updated in NPPESDecember 4, 2023
Certification dateDecember 1, 2023

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