# DR. MAUREEN A BOYLE-MANGANARO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245255934
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 2001005627 | MO | — |
| 207V00000X | Obstetrics & Gynecology Physician | 28036 | NE | — |
| 207VX0000X | Obstetrics Physician | MD-43345 | IA | Yes |

## Other

- **Enumeration date:** 07/13/2006
- **Last updated:** 09/07/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10001545401 | COMMUNITY HEALTH PLAN | — |
| 05 | — | 10026211300 | — | NE |
| 05 | — | 10026301600 | — | NE |
| 05 | — | 100402030B | — | KS |
| 05 | — | 1245255934 | — | IA |
| 01 | — | 29689029 | BLUE CROSS BLUE SHIELD | MO |
| 01 | — | 414770 | FIRSTGUARD | — |
| 01 | — | 44054528964506V018 | TRICARE/CHAMPUS | — |
| 01 | — | 465449 | CHILDRENS MERCY FAMILY HEALTH | MO |
| 05 | — | 47068731777 | — | NE |
| 01 | — | 476709 | HEALTHLINK | — |
| 01 | — | 5897653 | AETNA | — |
| 01 | — | P00036242 | RAILROAD MEDICARE | — |