Individual
MRS. BRIANNE JOAN MANGENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
915 LAWN AVE, SELLERSVILLE, PA 18960
(215) 453-3300
(215) 453-3306
Mailing address
915 LAWN AVE, SUITE 202, SELLERSVILLE, PA 18960-1551
(215) 453-3300
(215) 453-3306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
SP009647
PA
363LF0000X
Family Nurse Practitioner
Primary
SP009647
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023375640001
—
PA
Enumeration date
12/12/2007
Last updated
09/16/2014
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