Mandi Renae Phillippe
Mandi Renae Phillippe is a Nurse Practitioner in Columbia, Missouri. Qualified in 2025, 1 year ago. Licensed in Missouri.
- Years since qualifying
- 1
- Licensed in
- MO
- In the registry since
- 2025
- Specialties on file
- 2
Practice location Address checks out
1021 Hitt StColumbia, MO 65212-0001
Phone: (573) 882-2272
Fax: (573) 884-1795
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neonatal Nurse Practitioner (primary) | Taxonomy 363LN0000X · Licence 2025030257 (MO) |
|---|---|
| Neonatal Intensive Care Registered Nurse | Taxonomy 163WN0002X · Licence 2014032792 (MO) |
Record details
| NPI number | 1730988494 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 13, 2025 |
| Last updated in NPPES | September 2, 2025 |
| Certification date | September 2, 2025 |
| Mailing address | Po Box 843966, Kansas City, MO 64184-3966 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 3 on file with Medicare |
Other providers in Columbia
-
Megan Nicole Cody, RN
1021 Hitt St, Columbia, MO 65212-1002 · (573) 771-6600
-
Grace Erin Frevert
1021 Hitt St, Columbia, MO 65212-0001 · (573) 882-2272