Individual provider · Type 1 NPI

Mariam Mangu Nantang, PMHNP

Psychiatric/Mental Health Nurse Practitioner · Greensboro, NC

NPI number 1003635087 Active

Practice location

717 Green Valley Rd Ste 200
Greensboro, NC 27408-2156

Other practice locations

  • 1140 Kildaire Farm Rd Rm 12, Cary, NC 27511-4562 · (743) 222-9755

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X245103 (NC)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1003635087

Mariam Mangu Nantang, PMHNP's National Provider Identifier is 1003635087, issued on Oct 7, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Greensboro, NC. The record was last updated on Jan 17, 2025.