Individual provider · Type 1 NPI
Melissa Mangan, NP
Nurse Practitioner · Plymouth, MN
Practice location
15725 37th Ave N Ste 1
Plymouth, MN 55446-3206
Fax (763) 322-9114
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | F06211243 (MN) |
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…
Another provider at this address
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About NPI 1386212173
Melissa Mangan, NP's National Provider Identifier is 1386212173, issued on Jun 16, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Plymouth, MN. The record was last updated on Aug 12, 2026.