Individual
ELSIE MANGANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 OLD DENBIGH BLVD, SUITE 1020A, NEWPORT NEWS, VA 23602-2017
(757) 875-2050
(757) 875-2070
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024165754
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1649216615
—
VA
Enumeration date
06/20/2006
Last updated
10/02/2013
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