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Individual

ZACHARY D MANGUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
ARNP

Contact information

Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
Mailing address
1700 13TH ST # 4A, EVERETT, WA 98201-1689

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
RN60474418
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP61160443
WA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
07/21/2020
Last updated
04/01/2021
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