Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. CANDACE D MANGUM, CRNP
ActiveMS. CANDACE D MANGUM, CRNP is a Primary Care Nurse Practitioner healthcare provider located in NOTASULGA, Alabama. NPI 1407924384 is currently active in the NPPES registry. Verify at CMS.
Primary Care Nurse Practitioner · NOTASULGA, AL
Registration Details
- NPI Number
- 1407924384
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 1, 2006 (19.696862517023 yrs)
- Last Updated
- Jun 8, 2009
- License
-
1-090975 (AL)
Practice Information
- Address
-
56 WEST MAIN STREETNOTASULGA, AL, 368660100Browse AL providers · Browse ZIP 36866
- Phone
- 3342571081
- Fax
- 3342571086
- Primary Specialty
-
Primary Care Nurse Practitioner
363LP2300X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.