Individual provider · Type 1 NPI
Matilda Manka Mangan, NP
Adult Health Nurse Practitioner · Temecula, CA
NPI number
1972035442
Active
Practice location
42756 Portraits Ln
Temecula, CA 92592
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | NP95006288 (CA) |
| Gerontology Clinical Nurse Specialist | 364SG0600X | NP95006288 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1972035442
Matilda Manka Mangan, NP's National Provider Identifier is 1972035442, issued on Apr 3, 2017. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Temecula, CA. The record was last updated on Apr 3, 2017.