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Angela Manjgaladze
Psychiatric/Mental Health Nurse Practitioner in Victor, New York
NPI 1194281444

Angela Manjgaladze is a Psychiatric/Mental Health Nurse Practitioner based in Victor, NY and is specialized in Psychiatric/Mental Health. Angela Manjgaladze practices in Victor, NY. The NPI Number for Angela Manjgaladze is 1194281444 and holds a License No. 001782 (New York).

The current practice location address for Angela Manjgaladze is 600 Fishers Station Dr Ste 117, Victor, NY and can be reached out via phone at 585-337-0992 and via fax at 585-337-0998.

Location: 600 Fishers Station Dr Ste 117, Victor, NY, 14564-9784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194281444
Provider Name
Angela Manjgaladze
Credential
Provider Entity Type
Individual
Gender
Female
Address
600 Fishers Station Dr Ste 117, Victor, NY, 14564-9784
Phone Number
585-337-0992
Fax Number
585-337-0998
Provider Enumeration Date
02/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
600 Fishers Station Dr Ste 117
City
Victor
State
New York
Zip
14564-9784
Phone Number
585-337-0992
Fax Number
585-337-0998
person
Provider Business Mailing Address Details
Address
600 Fishers Station Dr Ste 117
City
Victor
State
New York
Zip
14564-9784
Phone Number
585-337-0992
Fax Number
585-337-0998
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
402705 (New York)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
001782 (New York)
Definition
Definition to come...
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