Individual
MRS. TERRA ROSE MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MN, ARNP
Contact information
Practice address
7315 212TH ST SW, #207, EDMONDS, WA 98026-7610
(425) 775-9474
(425) 670-3558
Mailing address
7315 212TH ST SW, #207, EDMONDS, WA 98026-7610
(425) 775-9474
(425) 670-3554
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60314389
WA
Other
Enumeration date
10/19/2012
Last updated
06/03/2015
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