Individual provider · Type 1 NPI

Andrew Reynolds Mangan

Student in an Organized Health Care Education/Training Program · Little Rock, AR

NPI number 1922858802 Active

Practice location

4301 W Markham St # 543
Little Rock, AR 72205-7101

Call (501) 603-1214 Map

Mailing address

2201 Blackwood Rd
Little Rock, AR 72207-3420

Other practice locations

  • 1 Childrens Way # 836, Little Rock, AR 72202-3500 · (501) 686-7501

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1922858802

Andrew Reynolds Mangan's National Provider Identifier is 1922858802, issued on Mar 25, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Little Rock, AR. The record was last updated on Mar 25, 2024.