Individual provider · Type 1 NPI

Nicole Mangus, APRN

Nurse Practitioner · Edgewood, KY

NPI number 1972133098 Active

Practice location

1 Medical Village Dr
Edgewood, KY 41017-3403

Fax (859) 572-2326

Mailing address

PO Box 18667
Erlanger, KY 41018-0667

Other practice locations

  • 238 Barnes Rd, Williamstown, KY 41097-9482 · (859) 824-8240
  • 1500 James Simpson Jr Way, Covington, KY 41011-0801 · (859) 655-4353

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X3014214 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1972133098

Nicole Mangus, APRN's National Provider Identifier is 1972133098, issued on Jan 16, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Edgewood, KY. The record was last updated on Jul 22, 2021.