Manguno, Mia

Manguno, Mia is an individual health care provider with primary practice located at Isu Thielen Student Health Center 2647 Union Drive , Ames IA 50011. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manguno, Mia can be contacted via phone (515) 294-5801.

Contact Information

Primary practice address
Isu Thielen Student Health Center 2647 Union Drive Ames IA 50011
Phone: (515) 294-5801
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP08405 Louisiana

Profile Details

NPI number 1861866519
LBN Legal business name Manguno, Mia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2015
Last updated Aug 1st, 2018 - about 7 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 1861866519 NPPES
Mississippi MEDICAID 05339761
Mississippi MEDICAID 2407163

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