Mangum, Terra Rose
Mangum, Terra Rose is an individual health care provider with primary practice located at 7315 212Th St Sw #207, Edmonds WA 98026-7610. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mangum, Terra Rose can be contacted via phone (425) 775-9474.Contact Information
Primary practice address
7315 212Th St Sw #207
Edmonds WA 98026-7610
Phone: (425) 775-9474
Fax: (425) 670-3558
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP60314389 | Washington |
Profile Details
| NPI number | 1366795908 |
|---|---|
| LBN Legal business name | Mangum, Terra Rose |
| Credentials | MN, ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2012 |
| Last updated | Jun 3rd, 2015 - about 9 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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