Individual
MS. JOSEPHINE HANA MACMANG
Active
Individual
MS. JOSEPHINE HANA MACMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0024172445
VA
367500000X
Certified Registered Nurse Anesthetist
212086
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8054071
RAILROAD-MEDICARE
NC
05
—
8054071
—
NC
05
—
NC3453A
—
NC
Enumeration date
05/25/2011
Last updated
08/17/2017
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