Individual
MELISSA MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
240 CENTRAL AVE STE 5, OSSEO, MN 55369-4794
(612) 208-3725
(888) 711-4015
Mailing address
240 CENTRAL AVE STE 5, OSSEO, MN 55369-4794
(612) 208-3725
(888) 711-4015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F06211243
MN
Other
Enumeration date
06/16/2021
Last updated
10/22/2025
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