Individual
HAILEY MADISON MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
303 E PAR ST, ORLANDO, FL 32804-4003
(407) 529-9461
Mailing address
303 E PAR ST, ORLANDO, FL 32804-4003
(877) 876-3627
(321) 843-4101
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN11041901
FL
363LF0000X
Family Nurse Practitioner
11041901
FL
Other
Enumeration date
08/26/2025
Last updated
11/15/2025
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