Individual
MS. LINDA M MANGINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE N, DEPARTMENT OF INFECTIOUS DISEASE, WORCESTER, MA 01655-0002
(508) 856-6027
Mailing address
PO BOX 415348, BOSSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
102688
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0357766
—
MA
Enumeration date
02/17/2006
Last updated
12/10/2010
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