Individual
MARY C MANGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, CRNP
Contact information
Practice address
1500 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4067
(877) 813-5595
Mailing address
1500 SPRING GARDEN ST, PHILADELPHIA, PA 19130-4067
(877) 813-5595
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP00926
PA
Other
Enumeration date
12/30/2008
Last updated
12/30/2008
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