Individual
MRS. GAIL R MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP, FNP
Contact information
Practice address
5812 RIDGE RD, PARMA, OH 44129
(866) 389-2727
Mailing address
5812 RIDGE RD, PARMA, OH 44129-3161
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN 207446 COA 01208
OH
363LF0000X
Family Nurse Practitioner
RN207446
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1740355767
PROVIDER
OH
Enumeration date
11/22/2006
Last updated
09/17/2019
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