Individual provider · Type 1 NPI
Adeline T. Mangwa, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Columbia, MD
NPI number
1497015283
Active
Practice location
10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Mailing address
12912 Conamar Dr Unit 1931
Hagerstown, MD 21742-7505
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Home Health Aide | 374U00000X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | R230111 (MD) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1497015283
Adeline T. Mangwa, PMHNP-BC's National Provider Identifier is 1497015283, issued on May 25, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Columbia, MD. The record was last updated on Apr 3, 2024.