Individual provider · Type 1 NPI

Elizabeth Mangum, NP

Gerontology Nurse Practitioner · Shreveport, LA

NPI number 1649625807 Active

Practice location

1541 Kings Hwy
Shreveport, LA 71103-4228

Fax (318) 629-4833

Mailing address

1512 W Kirby Pl
Shreveport, LA 71103-3822

Other practice locations

  • 1411 Claiborne Ave, Shreveport, LA 71103-4203 · (318) 868-4421
  • 2727 Hearne Ave Ste 301, Shreveport, LA 71103 · (318) 631-6400

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner 363LA2100XAP08881 (LA)
Registered Nurse 163W00000XRN82332 (LA)
Gerontology Nurse Practitioner Primary 363LG0600XAP0881 (LA)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1649625807

Elizabeth Mangum, NP's National Provider Identifier is 1649625807, issued on Apr 25, 2016. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Shreveport, LA. The record was last updated on Feb 27, 2023.