Individual provider · Type 1 NPI
Susan Patricia Mangum, FNP-BC
Family Nurse Practitioner · San Antonio, TX
NPI number
1962657486
Active
Practice location
2221 Buena Vista St
San Antonio, TX 78207-3702
Fax (210) 225-2081
Mailing address
2819 NW Loop 410, Ste A
San Antonio, TX 78230-5105
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 515148 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962657486
Susan Patricia Mangum, FNP-BC's National Provider Identifier is 1962657486, issued on Nov 25, 2008. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in San Antonio, TX. The record was last updated on May 13, 2016.