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Mrs. Terra Rose Mangum, MN,ARNP
Family Nurse Practitioner in Edmonds, Washington
NPI 1366795908

Terra Rose Mangum is a Family Nurse Practitioner based in Edmonds, WA and is specialized in Family. Terra Rose Mangum practices in Edmonds, WA and has the professional credentials of MN,ARNP. The NPI Number for Terra Rose Mangum is 1366795908 and holds a License No. AP60314389 (Washington).

The current practice location address for Terra Rose Mangum is 7315 212Th St Sw, Edmonds, WA and can be reached out via phone at 425-775-9474 and via fax at 425-670-3558.

Location: 7315 212Th St Sw, Edmonds, WA, 98026-7610
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366795908
Provider Name
Terra Rose Mangum
Credential
MN,ARNP
Provider Entity Type
Individual
Gender
Female
Address
7315 212Th St Sw, Edmonds, WA, 98026-7610
Phone Number
425-775-9474
Fax Number
425-670-3558
Provider Enumeration Date
10/19/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
7315 212Th St Sw
City
Edmonds
State
Washington
Zip
98026-7610
Phone Number
425-775-9474
Fax Number
425-670-3558
person
Provider Business Mailing Address Details
Address
7315 212Th St Sw
City
Edmonds
State
Washington
Zip
98026-7610
Phone Number
425-775-9474
Fax Number
425-670-3558
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
AP60314389 (Washington)
Definition
Definition to come...
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