Individual
BIANCA A MACANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CWOCN
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
Update your record
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