Individual
MICHAEL LANCE SANTANGELO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP-BC
Contact information
Practice address
2810 E CAUSEWAY APPROACH, MANDEVILLE, LA 70448-3502
(985) 875-2340
Mailing address
203 PINE CREST DR, MADISONVILLE, LA 70447-3803
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
234260
LA
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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