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Individual

DR. TAMMY LEA MANGUAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DNP, ARNP-C

Contact information

Practice address
926 MAIN ST, NASHVILLE, TN 37206-3614
(615) 436-9060
(615) 235-9725
Mailing address
156 CLEMENTE DR, SATELLITE BEACH, FL 32937-5709
(321) 432-0573

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3311522
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
305303200
FL
Enumeration date
07/12/2006
Last updated
07/08/2025
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