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Tracy D Mangan, NP
Nurse Practitioner in Fort Wayne, Indiana
NPI 1225413487

Tracy D Mangan is a Nurse Practitioner based in Fort Wayne, IN. Tracy D Mangan practices in Fort Wayne, IN and has the professional credentials of NP. The NPI Number for Tracy D Mangan is 1225413487 and holds a License No. 71005609A (Indiana).

The current practice location address for Tracy D Mangan is 10343 Dawsons Creek Blvd, Fort Wayne, IN and can be reached out via phone at 260-203-9600 and via fax at 260-739-6167.

Location: 10343 Dawsons Creek Blvd, Fort Wayne, IN, 46825-1906
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225413487
Provider Name
Tracy D Mangan
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
10343 Dawsons Creek Blvd, Fort Wayne, IN, 46825-1906
Phone Number
260-203-9600
Fax Number
260-739-6167
Provider Enumeration Date
07/29/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10343 Dawsons Creek Blvd
City
Fort Wayne
State
Indiana
Zip
46825-1906
Phone Number
260-203-9600
Fax Number
260-739-6167
person
Provider Business Mailing Address Details
Address
10343 Dawsons Creek Blvd
City
Fort Wayne
State
Indiana
Zip
46825-1906
Phone Number
260-203-9600
Fax Number
260-739-6167
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
71005609A (Indiana)
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.
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