Individual provider · Type 1 NPI
Colleen Mango
Psychiatric/Mental Health Nurse Practitioner · New Haven, CT
NPI number
1902674831
Active
Practice location
20 York St
New Haven, CT 06510-3220
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 10.158176 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 13636 (CT) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1902674831
Colleen Mango's National Provider Identifier is 1902674831, issued on Dec 20, 2023. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in New Haven, CT. The record was last updated on Oct 9, 2024.