Mangin, Erika Susanne
Mangin, Erika Susanne is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mangin, Erika Susanne can be contacted via phone (920) 619-6499.Contact Information
Primary practice address
301 E Saint Joseph St
Green Bay WI 54301
Phone: (920) 619-6499
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 223907 | Wisconsin |
Nursing Service Providers / Registered Nurse | 163W00000X | 2303712 | Massachusetts |
Nursing Service Providers / Registered Nurse | 163W00000X | 041.451974 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 8506-33 | Wisconsin |
Profile Details
NPI number | 1710357900 |
---|---|
LBN Legal business name | Mangin, Erika Susanne |
Credentials | RN, APN, PMHNP-BC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 30th, 2015 |
Last updated | Nov 23rd, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710357900 | NPPES |
Other | 2017009243 | AMERICAN NURSES CREDENTIALING CENTER |
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