Individual provider · Type 1 NPI
Annalee Mangum, RN
General Practice Registered Nurse · Donnelly, ID
NPI number
1871303651
Active
Practice location
257 Elaine Ln
Donnelly, ID 83615-5079
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 35135 (ID) |
General Practice Registered Nurse: Definition to come...
About NPI 1871303651
Annalee Mangum, RN's National Provider Identifier is 1871303651, issued on Jan 13, 2025. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Donnelly, ID. The record was last updated on Jan 13, 2025.