Individual
BRIDGET MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
2955 IVY RD STE 304, CHARLOTTESVILLE, VA 22903-9353
(434) 243-4570
(434) 295-5491
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
0024190040
VA
367A00000X
Advanced Practice Midwife
Primary
0024190040
VA
Other
Enumeration date
04/23/2024
Last updated
06/24/2024
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