Individual
MEGAN MANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
544 PLEASANT ST, PAWTUCKET, RI 02860-5726
(954) 399-4673
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(954) 399-4673
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
113468
OK
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN03539
RI
Other
Enumeration date
01/18/2021
Last updated
02/07/2025
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