Individual provider · Type 1 NPI
Kristin Louise Mangada
Nurse Practitioner · Boston, MA
Practice location
450 Brookline Ave, D315
Boston, MA 02215-5418
Mailing address
89 Waltham St
West Newton, MA 02465-1327
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 246649 (MA) |
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 1639239668
Kristin Louise Mangada's National Provider Identifier is 1639239668, issued on Dec 11, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Boston, MA. The record was last updated on Jul 21, 2011.