Individual provider · Type 1 NPI

Constance J. Mangiamele, APRN

Family Nurse Practitioner · Cass Lake, MN

NPI number 1073979084 Active

Practice location

190 Sailstar Dr. NW
Cass Lake, MN 56633

Call (218) 335-4500 Map

Mailing address

1012 Maple Ridge Ct NW
Bemidji, MN 56601-8020

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR149441-1 (MN)
Nurse Practitioner 363L00000XR1494411 (MN)
Family Nurse Practitioner Primary 363LF0000XR1494411 (MN)

Family Nurse Practitioner: Definition to come...

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About NPI 1073979084

Constance J. Mangiamele, APRN's National Provider Identifier is 1073979084, issued on Jan 6, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Cass Lake, MN. The record was last updated on Jan 10, 2020.