Individual
AUSTYN MANGINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP-AC
Contact information
Practice address
3100 SW 62ND AVE, MIAMI, FL 33155-3009
(561) 624-9188
Mailing address
9731 NW 58TH CT, PARKLAND, FL 33076-1830
(248) 227-4217
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4704291944
MI
Other
Enumeration date
12/11/2018
Last updated
08/06/2024
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