MANDY CONNELLY RN
NPI 1972466175
Nurse Practitioner - Family in Lake Havasu City, AZ
Active since December 04, 2025
About Mandy Connelly Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY CONNELLY RN (NPI 1972466175) is an individual family provider in Lake Havasu City, Arizona, licensed in Arizona (332482) and active in the NPI registry since December 2025.
NPPES Registry Identity
NPI1972466175
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANDY CONNELLYCredential: RN
Location Address101 CIVIC CENTER LNLake Havasu City, AZ 86403-5607
Mailing Address101 Civic Center LnLake Havasu City, AZ 86403-5607
Phone(928) 855-8185
Sole ProprietorNo
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1972466175 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 332482
101 CIVIC CENTER LN, Lake Havasu City, AZ 86403
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.
Emergency Medicine
101 CIVIC CENTER LN
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 CIVIC CENTER LN, ATTN: HAVASU CARDIAC SURGERY
LAKE HAVASU CITY, AZ 86403
LAKE HAVASU CITY, AZ 86403
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972466175, enumerated as an "individual" on December 04, 2025.
The provider is located at 101 CIVIC CENTER LN LAKE HAVASU CITY, AZ 86403 and the phone number is (928) 855-8185.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
