Individual provider · Type 1 NPI
Angela Manjgaladze
Psychiatric/Mental Health Nurse Practitioner · Victor, NY
NPI number
1194281444
Active
Practice location
600 Fishers Station Dr Ste 117
Victor, NY 14564-9784
Fax (585) 337-0998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 001782 (NY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 402705 (NY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
Other psychiatric/mental health nurse practitioner providers in Victor
About NPI 1194281444
Angela Manjgaladze's National Provider Identifier is 1194281444, issued on Feb 12, 2019. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Victor, NY. The record was last updated on Feb 1, 2023.