Individual
MS. ERIKA SUSANNE MANGIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, APN, PMHNP-BC
Contact information
Practice address
301 E SAINT JOSEPH ST, GREEN BAY, WI 54301
(920) 619-6499
Mailing address
PO BOX 22040, GREEN BAY, WI 54305-2040
(920) 445-7222
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.451974
IL
163W00000X
Registered Nurse
223907
WI
163W00000X
Registered Nurse
2303712
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8506-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2017009243
AMERICAN NURSES CREDENTIALING CENTER
—
Enumeration date
09/30/2015
Last updated
11/23/2020
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