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Ms. Candace D Mangum, CRNP
Primary Care Nurse Practitioner in Notasulga, Alabama
NPI 1407924384

Candace D Mangum is a Primary Care Nurse Practitioner based in Notasulga, AL and is specialized in Primary Care. Candace D Mangum practices in Notasulga, AL and has the professional credentials of CRNP. The NPI Number for Candace D Mangum is 1407924384 and holds a License No. 1-090975 (Alabama).

The current practice location address for Candace D Mangum is 56 West Main Street, Notasulga, AL and can be reached out via phone at 334-257-1081 and via fax at 334-257-1086.

Location: 56 West Main Street, Notasulga, AL, 36866-0100
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Provider Profile Details
NPI Number
1407924384
Provider Name
Candace D Mangum
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
56 West Main Street, Notasulga, AL, 36866-0100
Phone Number
334-257-1081
Fax Number
334-257-1086
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1164550489 01 ORGANIZATIONAL NPI
891017112 05 AL
051558482 01 AL PTAN
institution
Provider Business Practice Location Address Details
Address
56 West Main Street
City
State
Zip
36866-0100
Phone Number
334-257-1081
Fax Number
334-257-1086
person
Provider Business Mailing Address Details
Address
56 West Main Street
City
State
Zip
36866-0100
Phone Number
334-257-1081
Fax Number
334-257-1086
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
License No.
1-090975 (Alabama)
Definition
Definition to come...
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