Mangano, Elsie

Mangano, Elsie is an individual health care provider with primary practice located at 1000 Old Denbigh Blvd Suite 1020A, Newport News VA 23602-2017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mangano, Elsie can be contacted via phone (757) 875-2050.

Contact Information

Primary practice address
1000 Old Denbigh Blvd Suite 1020A Newport News VA 23602-2017
Fax: (757) 875-2070
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024165754 Virginia

Profile Details

NPI number 1649216615
LBN Legal business name Mangano, Elsie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Oct 2nd, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1649216615 NPPES
Virginia MEDICAID 1649216615

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