Individual
MRS. MEGAN CLEMENS MANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
3200 SYCAMORE CT, STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014
Mailing address
3200 SYCAMORE CT, STE 1B, COLUMBUS, IN 47203-1545
(812) 378-9027
(812) 378-1014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.353761
IL
367500000X
Certified Registered Nurse Anesthetist
209.009298
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28262247A
IN
Other
Enumeration date
01/04/2012
Last updated
08/06/2021
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