Individual provider · Type 1 NPI
Candace D. Mangum, CRNP
Primary Care Nurse Practitioner · Notasulga, AL
NPI number
1407924384
Active
Practice location
56 West Main Street
Notasulga, AL 36866-0100
Fax (334) 257-1086
Mailing address
PO Box 100
Notasulga, AL 36866-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Nurse Practitioner Primary | 363LP2300X | 1-090975 (AL) |
Primary Care Nurse Practitioner: Definition to come...
Another provider at this address
About NPI 1407924384
Candace D. Mangum, CRNP's National Provider Identifier is 1407924384, issued on Dec 1, 2006. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Notasulga, AL. The record was last updated on Jun 8, 2009.