Individual
CHRISTY MANGIACOTTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 LAKE AVE NORTH, WORCESTER, MA 01655-0002
(508) 334-3850
(508) 334-9108
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN2358310
MA
363L00000X
Nurse Practitioner
Primary
RN2358310
MA
363LA2100X
Acute Care Nurse Practitioner
12814
CT
Other
Enumeration date
01/12/2022
Last updated
11/22/2024
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