Individual
MRS. CHELSIE KAYTEN MANGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
704 GENERATION PT, SUITE 201, KISSIMMEE, FL 34744-5918
(888) 644-1448
Mailing address
4511 LA SALLE AVE S STE 10, SAINT CLOUD, FL 34772-8399
(407) 797-3171
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
ARNP 9318711
FL
Other
Enumeration date
02/03/2015
Last updated
05/06/2024
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