Individual
SARA LINDSEY MANGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CPNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
740019
NY
163W00000X
Registered Nurse
95190355
CA
363LP0200X
Pediatric Nurse Practitioner
Primary
95012509
CA
363LP0200X
Pediatric Nurse Practitioner
F383013
NY
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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