Individual
MS. MICHELE LYNN MANGINI-VENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 555-7857
Mailing address
535 E 70TH ST, NEW YORK, NY 10021-4823
(212) 555-7857
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
F430103
NY
Other
Enumeration date
07/12/2006
Last updated
06/10/2010
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