Individual provider · Type 1 NPI
Jennifer Ann Mangold, R.N.
Community Health Registered Nurse · Glen Burnie, MD
NPI number
1154545606
Active
Practice location
791 Aquahart Rd, Suite 200
Glen Burnie, MD 21061-3961
Fax (410) 222-6679
Mailing address
413 Abbey Cir
Abingdon, MD 21009-1567
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Registered Nurse Primary | 163WC1500X | R136136 (MD) |
Community Health Registered Nurse: Definition to come...
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About NPI 1154545606
Jennifer Ann Mangold, R.N.'s National Provider Identifier is 1154545606, issued on Apr 13, 2007. The primary taxonomy on file is Community Health Registered Nurse (163WC1500X), and the practice location is in Glen Burnie, MD. The record was last updated on Jul 8, 2007.