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

Mandy Connelly, RN

Individual provider Family Nurse Practitioner · NPI 1972466175

Mandy Connelly, RN is a Nurse Practitioner in Lake Havasu City, Arizona. Qualified in 2025, 1 year ago. Practices with Emergency Physicians Southwest PC, a 98-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Licensed in
AZ
In the registry since
2025
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

101 Civic Center Ln
Lake Havasu City, AZ 86403-5607
Phone: (928) 855-8185
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 332482 (AZ)

Record details

NPI number1972466175
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN
Sole proprietorNo
NPI enumeratedDecember 4, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Emergency Physicians Southwest Pc — 98 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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