Doctor Name: | KATHRYN A MANGION |
NPI Number: | 1164405163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | LH-0000208 |
Business Practice Address: | 32060 Long Neck Rd Millsboro, DE - 199666228 |
Business Phone Number: | 3029472500 |
Business Fax Number: | |
Mailing Address: | 32060 Long Neck Rd, MILLSBORO |
State: | DE |
Postal Code: | 199666228 |
Phone Number: | 3029472500 |
Fax Number: | |
NPI Enumeration Date: | 11/22/2005 |
NPI Last Update Date: | 05/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | LH-0000208 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | DE |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |