Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. MANGA TELIDEVARA, NP
ActiveFamily Nurse Practitioner · MONTGOMERY, TX
Registration Details
- NPI Number
- 1497474373
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 24, 2022 (3.6855826103069 yrs)
- Last Updated
- Dec 12, 2024
- Licenses
-
1090732 (TX)1090732 (TX)
Practice Information
- Address
-
615 WORSHAM STMONTGOMERY, TX, 773164497Browse TX providers · Browse ZIP 77316
- Phone
- 2816500945
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
- Additional Specialty
- Nurse Practitioner
Other Family Nurse Practitioner Providers in MONTGOMERY, TX
| Name | Credential | NPI |
|---|---|---|
| DAFFANY KAY JONES | — | 1255671921 |
| SHARON DENISE GRUSH | FNP-C | 1962846220 |
| GINGER MCMILLIAN | FNP-C | 1306237664 |
| MRS. JENNIFER LYNN LIGON-GASTON | FNP-C | 1780037861 |
| JADESOLA KELANI | MSN, APRN, FNP-C | 1619423506 |
| RAMON CAMPBELL | — | 1821535261 |
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.