Individual provider · Type 1 NPI

Kimberly Mangus

Registered Nurse · Bartow, FL

NPI number 1003213810 Active

Practice location

1239 E Main St
Bartow, FL 33830-5058

Fax (863) 582-9251

Mailing address

PO Box 1559
Bartow, FL 33831-1559

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XRN9339286 (FL)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1003213810

Kimberly Mangus's National Provider Identifier is 1003213810, issued on Nov 21, 2014. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Bartow, FL. The record was last updated on Nov 21, 2014.