Angel Kahihikolo Mangum CRNA

NPI 1831165216 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1831165216
Gender Female
Enumeration Date 02/27/2006
Last Updated 07/28/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
576 JEFFERSON AVE
MCDONALD ARMY HEALTH CENTER
FORT EUSTIS VA, 23604-5548, US
Phone (757) 314-7854
Fax
Business Location
1146 THOMPSON CIR
FORT EUSTIS VA, 23604-1407, US
Phone (913) 237-1393
Fax
Toxanomy
Taxonomy Code 367500000X
License State Alabama
License Number 1-14151
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According to our database, Angel Kahihikolo Mangum CRNA NPI is 1831165216, taxonomy code is 367500000X and license number is 1-14151, license state is located at Alabama. Angel Kahihikolo Mangum CRNA physically located at 576 Jefferson Ave, Fort Eustis VA, 23604-5548. NPI Number Angel Kahihikolo Mangum CRNA has the Individual type.

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1831165216 NPI number is provided on an as is basis without warranty of any kind. 1831165216 is maintained by the National Plan & Provider Enumeration System. The contents of Angel Kahihikolo Mangum CRNA are for informational purposes only.