# CAROLYN MANGOZHE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629771605
- **Gender:** F
- **Credential:** FNP-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 71013647A | IN | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 71013647A | IN | — |

## Other

- **Enumeration date:** 03/27/2023
- **Last updated:** 09/03/2025