Individual provider · Type 1 NPI

Tracy D. Mangan, NP

Nurse Practitioner · Fort Wayne, IN

NPI number 1225413487 Active

Practice location

10343 Dawsons Creek Blvd, Suite A
Fort Wayne, IN 46825-1906

Fax (260) 739-6167

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	71005609A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1225413487

Tracy D. Mangan, NP's National Provider Identifier is 1225413487, issued on Jul 29, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Fort Wayne, IN. The record was last updated on Jul 29, 2015.