Marie Whitman Mangino
Nurse Practitioner - Gerontology
851 Skyline Dr
Erdenheim
, Pennsylvania 19038-1846
Marie Whitman Mangino
Nurse Practitioner - Gerontology
851 Skyline Dr
Erdenheim
, Pennsylvania 19038-1846
(215) 233-1282
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About
Features
Specialties
- Nurse Practitioner - Gerontology
Languages spoken
- English
Location
First Address
- Marie Whitman Mangino
- 851 Skyline Dr
- Erdenheim, PA
- Zip : 19038-1846
- Fax : (215) 233-1282
- Phone : (215) 233-5058
Second Address
- Marie Whitman Mangino
- 851 Skyline Dr
- Erdenheim, PA
- Zip : 19038-1846
- Fax : (215) 233-1282
- Phone : (215) 233-5058
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LG0600X | Nurse Practitioner - Gerontology | SP001552H | PA |
National Provider Identifier
| NPI | 1053517250 |
|---|---|
| Provider Name | Marie Whitman Mangino |
| First Address | Erdenheim, PA 19038-1846 |
| Second Address | Erdenheim, PA 19038-1846 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/06/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| S60732 | (02) | PA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.