IndividualActive
Staci Mandrola, MD
NPI 1912129552 · Hospice and Palliative Medicine (Internal Medicine) Physician · Louisville, KY
Provider details
- NPI number
- 1912129552
- Entity type
- Individual
- Primary specialty
- Hospice and Palliative Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 41139 (KY)
Practice location
7504 Westport Rd
Louisville, KY 40222-4108
Phone: (502) 693-2681
Fax: (502) 456-9738
Mailing address
2500 Meadow Rd
Louisville, KY 40205-2220
Registry dates
- Enumerated
- 2007-05-03
- Last updated
- 2013-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.