Individual provider · Type 1 NPI

Shawn M. Mangan, CRNP

Acute Care Nurse Practitioner · Philadelphia, PA

NPI number 1316175474 Active

Practice location

111 S 11th St
Philadelphia, PA 19107-4824

Call (215) 355-8304 Map

Fax (215) 923-0835

Mailing address

4300 Boone St
Philadelphia, PA 19128-4901

Other practice locations

  • 111 S 11th St, Vascular Surgery, Philadelphia, PA 19107-4824 · (215) 355-8304

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100XSP010334 (PA)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1316175474

Shawn M. Mangan, CRNP's National Provider Identifier is 1316175474, issued on Jun 29, 2009. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 4, 2018.