Mangan, Nicholas

Mangan, Nicholas is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, Nursing Service Providers / Critical Care Medicine. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Mangan, Nicholas can be contacted via phone (612) 365-6777.

Contact Information

Primary practice address
2450 Riverside Ave Minneapolis MN 55454-1450
Phone: (612) 365-6777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 2607 Minnesota
Nursing Service Providers / Critical Care Medicine 163WC0200X 2030337 Minnesota

Profile Details

NPI number 1144890930
LBN Legal business name Mangan, Nicholas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2021
Last updated Aug 24th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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