Individual
MRS. ANGELA NICOLE MANGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, PMHNP-BC
Contact information
Practice address
3080 VISTA BLVD, SPARKS, NV 89436-6713
(940) 257-1042
Mailing address
6843 RIVALDO DR, SPARKS, NV 89436-8250
(940) 257-1042
(775) 799-2043
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
845448
NV
Other
Enumeration date
05/09/2022
Last updated
01/06/2024
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