Virginia Mangolds in Worcester - Nurse Practitioner

Virginia Mangolds - NPI 1922072768

Virginia Mangolds is a Nurse Practitioner in Worcester, Massachusetts. Virginia Mangolds practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Virginia Mangolds is 1922072768. The last update date is 2022-08-15.

Virginia Mangolds's current location address is 55 Lake Ave N, Worcester, Massachusetts. You can contact this provider via phone number 5084211400 and fax number 5084211490. The mailing address for Virginia Mangolds is 55 Lake Ave N, Worcester, Massachusetts. To know further, please read the information below!

Provider Profile Detail

Provider Name Virginia Mangolds
Address 55 Lake Ave N, Worcester, Massachusetts
Phone Number 5084211400
Fax Number 5084211490
Sole Proprietor N
Credentials CNP

NPI Number Detail

NPI Number 1922072768
Provider Enumeration Date 2006-02-16
Last Updated Date 2022-08-15

Provider Mailing Address Detail

Address 55 Lake Ave N
City Worcester
State Massachusetts (MA)
Post Code 16550002
Phone Number 5084211400
Fax Number 5084211490

Provider's Primary Taxonomy Detail

Speciality Nurse Practitioner
Taxonomy 363L00000X
Licence No RN155115
Definition:
(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 certifi

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
110018863A MA --

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FAQs about Virginia Mangolds

What is the unique 10-digit identification code assigned to Virginia Mangolds by the Centers for Medicare & Medicaid Services?

The Virginia Mangolds has been issued the NPI (National Provider Identifier) 1922072768, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Virginia Mangolds's facilities are situated?

The facilities of Virginia Mangolds are physically located at the following address: 55 Lake Ave N, Worcester, MA, 16550002.

What is the area of specialization for Virginia Mangolds, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Virginia Mangolds is Nurse Practitioner, and the corresponding taxonomy code that categorizes this area of expertise is 363L00000X.

When was the Virginia Mangolds's 1922072768 issued?

The Virginia Mangolds's 1922072768 was issued on 2006-02-16.

As of what date was the information pertaining to Virginia Mangolds, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Virginia Mangolds, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-08-15.

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