Individual provider · Type 1 NPI

Caitlin Mangalaw

Registered Nurse · Fargo, ND

NPI number 1104724434 Active

Practice location

3902 13th Ave S
Fargo, ND 58103-3357

Mailing address

2111 Center St N
Wahpeton, ND 58075-3001

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X202536 (ND)

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 1104724434

Caitlin Mangalaw's National Provider Identifier is 1104724434, issued on Oct 27, 2026. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Fargo, ND. The record was last updated on Oct 27, 2026.