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Individual

CAMERON ELLESE MANGIAFICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGACNP-BC

Contact information

Practice address
1500 RED RIVER ST, AUSTIN, TX 78701-1918
(512) 324-7000
Mailing address
1109 E 5TH ST APT 1217, AUSTIN, TX 78702-3893
(210) 535-9966

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
1216637
TX
2086S0127X
Trauma Surgery Physician
1216637
TX
363LA2100X
Acute Care Nurse Practitioner
Primary
1216637
TX

Other

Enumeration date
01/21/2026
Last updated
04/06/2026
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