Individual
KRISTINA A ROST-MANGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RN, CNP
Contact information
Practice address
2912 SPRINGBORO W, SUITE 200, MORAINE, OH 45439-1674
(937) 297-8999
(937) 298-9673
Mailing address
2912 SPRINGBORO W, SUITE 200, MORAINE, OH 45439-1674
(937) 297-8999
(937) 298-9673
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
COA 09945-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2825527
—
OH
Enumeration date
03/13/2008
Last updated
12/15/2014
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