Individual
BIANCA A MACANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CWOCN
Contact information
Practice address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-2060
Mailing address
850 COLUMBIA RD STE 200, WESTLAKE, OH 44145-7215
(440) 808-1212
(440) 808-0321
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN.346103
OH
363L00000X
Nurse Practitioner
Primary
APRN.CNP.16113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0116525
—
OH
01
—
P01726750
MEDICARE RAILROAD
OH
Enumeration date
04/16/2014
Last updated
01/23/2024
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