Individual
MRS. SUKDAI MANGRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
6210 SCOTT ST, UNIT 216, PUNTA GORDA, FL 33950-3901
(941) 205-2666
(941) 205-2665
Mailing address
6210 SCOTT ST, UNIT 216, PUNTA GORDA, FL 33950-3901
(941) 205-2666
(941) 205-2665
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
ARNP2098022
FL
367A00000X
Advanced Practice Midwife
Primary
F000890
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00246075
—
NY
Enumeration date
10/04/2006
Last updated
03/22/2016
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