Mangum, Zachary D

Mangum, Zachary D is an sole proprietor health care provider with primary practice located at 884 W Park Ave , Port Townsend WA 98368-2273. He recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is his primary health care specialty. Mangum, Zachary D can be contacted via phone (360) 385-0321.

Contact Information

Primary practice address
884 W Park Ave Port Townsend WA 98368-2273
Phone: (360) 385-0321
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X RN60474418 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP61160443 Washington

Profile Details

NPI number 1053929414
LBN Legal business name Mangum, Zachary D
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2020
Last updated Apr 1st, 2021 - about 3 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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