Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. DEBRA D MANGRUM, NP
Active Sole ProprietorMRS. DEBRA D MANGRUM, NP is a Adult Health Nurse Practitioner healthcare provider located in OLYMPIA FIELDS, Illinois. NPI 1669917654 is currently active in the NPPES registry. Verify at CMS.
Adult Health Nurse Practitioner · OLYMPIA FIELDS, IL
Registration Details
- NPI Number
- 1669917654
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 29, 2016 (9.6718368412111 yrs)
- Last Updated
- Dec 15, 2021
- Licenses
-
71007051A (IN)209015375 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3800 W 203RD ST STE 204OLYMPIA FIELDS, IL, 604611185Browse IL providers · Browse ZIP 60461
- Phone
- 7088522641
- Fax
- 7085033260
- Primary Specialty
-
Adult Health Nurse Practitioner
363LA2200X
- Additional Specialty
- Adult Health Nurse Practitioner
Other Adult Health Nurse Practitioner Providers in OLYMPIA FIELDS, IL
| Name | Credential | NPI |
|---|---|---|
| MS. ALEXIS C. HARPER | APN | 1689909749 |
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.