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MS. MAGDALINE MANDAZA NURSE PRACTITIONER
NPI 1881290583
Nurse Practitioner - Psychiatric/Mental Health in Fort Bragg, NC

Active since December 08, 2020
2817 ROCK MERRITT AVENUE, FORT BRAGG, NC 28310(910) 907-8922(910) 907-6069 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Nov 22, 2022, Nov 18, 2022, Dec 25, 2020 and 1 more (4 updates tracked since 2020).

About Ms. Magdaline Mandaza Nurse Practitioner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MAGDALINE MANDAZA NURSE PRACTITIONER (NPI 1881290583) is an individual psychiatric/mental health provider in Fort Bragg, North Carolina, licensed in Washington (N261131880) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1881290583
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. MAGDALINE MANDAZACredential: NURSE PRACTITIONER
Location Address2817 ROCK MERRITT AVENUEFort Bragg, NC 28310-0001
Mailing AddressWomack Army Medical Center 2817 Rock Merritt AvenueFort Bragg, NC 28310-0001 · (910) 907-8922 · Fax (910) 907-6069
Phone(910) 907-8922
Fax(910) 907-6069
Sole ProprietorNo
Enumeration DateDecember 8, 2020
Last NPPES UpdateAugust 1, 20254 updates tracked since enumeration
NPPES CertifiedAugust 1, 2025
✔ NPI 1881290583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · N261131880
2817 ROCK MERRITT AVENUE, Fort Bragg, NC 28310
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Other Names 1

Professional Name (2)Magdaline Mandaza Np

Other Identifiers 2

Other1881290583WA · Psychiatry
OtherAP61126076WA · Military And Civilian

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN JAY OSBORN M.D.
Family Medicine
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
MR. KEVIN TRAVIS WORTH CRNA
Nurse Anesthetist, Certified Registered
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-6036
DR. LISSETTE MACHIN M.D.
Obstetrics & Gynecology
2817 ROCK MERRITT AVENUE, WOMACK ARMY MEDICAL CENTER
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
DR. CECELIA O'LEARY BROWN MD
General Practice
2817 ROCK MERRITT AVENUE
FORT LIBERTY, NC 28310
Cumberland County (910) 907-6000
DIETRA MONTALVO LCSW
Social Worker (Clinical)
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922
JOSHUA SCOTT
Registered Nurse
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Cumberland County (910) 907-7698
DR. RICHARD KEEZER PSY.D.
Psychologist (Clinical)
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Cumberland County (910) 907-6000
MARY ROSE DEL CARMEN PT, DPT
Physical Therapist
2817 ROCK MERRITT AVENUE
FORT BRAGG, NC 28310
Cumberland County (910) 907-8922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Magdaline Mandaza's NPI number?

The NPI number for Magdaline Mandaza is 1881290583. It was assigned to this individual provider in the NPPES registry on December 8, 2020. The provider is also known as Magdaline Mandaza Np.

Where is Magdaline Mandaza located?

Magdaline Mandaza practices at 2817 Rock Merritt Avenue, Fort Bragg, NC 28310. The listed phone number is (910) 907-8922.

What is Magdaline Mandaza's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Magdaline Mandaza was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.