Individual
DR. MICHAEL ROBERT NANGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP - PMHNP
Contact information
Practice address
5058 E GREENWAY ST, MESA, AZ 85205-3472
(602) 578-6648
Mailing address
5058 E GREENWAY ST, MESA, AZ 85205-3472
(602) 578-6648
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
RNP318159
AZ
390200000X
Student in an Organized Health Care Education/Training Program
RN154299
AZ
Other
Enumeration date
08/21/2020
Last updated
01/03/2025
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