Individual
PATRICIA MANGONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
173 CHELSEA ST, EVERETT, MA 02149-4632
(781) 388-6200
Mailing address
54 STANLEY AVE, MEDFORD, MA 02155-5618
(617) 894-6601
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
115369
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2283384
MA
Other
Enumeration date
09/19/2011
Last updated
12/17/2015
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