Individual
DR. MAUREEN A BOYLE-MANGANARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2001005627
MO
207V00000X
Obstetrics & Gynecology Physician
28036
NE
207VX0000X
Obstetrics Physician
Primary
MD-43345
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001545401
COMMUNITY HEALTH PLAN
—
05
—
10026211300
—
NE
05
—
10026301600
—
NE
05
—
100402030B
—
KS
05
—
1245255934
—
IA
01
—
29689029
BLUE CROSS BLUE SHIELD
MO
01
—
414770
FIRSTGUARD
—
01
—
44054528964506V018
TRICARE/CHAMPUS
—
01
—
465449
CHILDRENS MERCY FAMILY HEALTH
MO
05
—
47068731777
—
NE
01
—
476709
HEALTHLINK
—
01
—
5897653
AETNA
—
01
—
P00036242
RAILROAD MEDICARE
—
Enumeration date
07/13/2006
Last updated
09/07/2017
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