Andrea Nichole Mangum CRNP

NPI 1407278419 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1407278419
Gender Female
Enumeration Date 01/09/2014
Last Updated 05/23/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1890 AL HIGHWAY 157 STE 300
CULLMAN AL, 35058-0689, US
Phone (256) 737-8000
Fax (256) 737-8058
Business Location
1890 AL HIGHWAY 157 STE 300
CULLMAN AL, 35058-0689, US
Phone (256) 737-8000
Fax (256) 737-8058
Toxanomy
Taxonomy Code 363LF0000X
License State Alabama
License Number 1-113363
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According to our database, Mrs. Andrea Nichole Mangum CRNP NPI is 1407278419, taxonomy code is 363LF0000X and license number is 1-113363, license state is located at Alabama. Andrea Nichole Mangum CRNP physically located at 1890 Al Highway 157 Ste 300, Cullman AL, 35058-0689. NPI Number Andrea Nichole Mangum CRNP has the Individual type.

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1407278419 NPI number is provided on an as is basis without warranty of any kind. 1407278419 is maintained by the National Plan & Provider Enumeration System. The contents of Andrea Nichole Mangum CRNP are for informational purposes only.