Individual
DR. WILLIAM MANGANA II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP
Contact information
Practice address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(866) 389-2727
Mailing address
2601 RIVA RD, ANNAPOLIS, MD 21401-7304
(866) 389-2727
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
R277378
MD
363LF0000X
Family Nurse Practitioner
Primary
R277378
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F06202073
FNP BOARD CERTIFICATION NUMBER
—
01
—
R227378
RN LICENSE
MD
Enumeration date
06/24/2020
Last updated
07/27/2020
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