Individual
MELISSA MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15725 37TH AVE N STE 1, PLYMOUTH, MN 55446-3206
(612) 305-8825
(763) 322-9114
Mailing address
15725 37TH AVE N STE 1, PLYMOUTH, MN 55446-3206
(612) 305-8825
(763) 322-9114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06211243
MN
Other
Enumeration date
06/16/2021
Last updated
08/12/2026
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