Organization
VINCENT HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIE WHITMAN MANGINO C.R.N.P (PRESIDENT)
(215) 233-5058
Entity
Organization
Contact information
Practice address
851 SKYLINE DR, ERDENHEIM, PA 19038-1846
(215) 233-5058
(215) 233-1282
Mailing address
851 SKYLINE DR, ERDENHEIM, PA 19038-1846
(215) 233-5058
(215) 233-1282
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
SP001552H
PA
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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