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Individual

MRS. NICOLE ANN MANGETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-C

Contact information

Practice address
4154 W VIENNA RD, CLIO, MI 48420-2809
(810) 406-4246
Mailing address
225 E 5TH ST, FLINT, MI 48502-1641
(810) 406-4246

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704323666
MI
363LF0000X
Family Nurse Practitioner
4704323666
MI

Other

Enumeration date
11/16/2020
Last updated
08/29/2025
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