Active NPIIndividual provider

Lisa M Mangino-Blanchard, CRNP

Nurse Practitioner, Acute Care in Pomona, New Jersey

NPI Number1811273980
Practice location
65 W Jimmie Leeds RD Fl 1, Pomona, NJ 08240-9102
Fax
609-652-3460
Last updated
May 28, 2026

Lisa Marie Mangino-Blanchard is a Nurse Practitioner, Acute Care based in Pomona, NJ. Lisa Marie Mangino-Blanchard practices in Pomona, NJ and has the professional credentials of CRNP. The NPI Number for Lisa Marie Mangino-Blanchard is 1811273980 and holds a License No. SP007067 (PA). The current practice location address for Lisa Marie Mangino-Blanchard is 65 W Jimmie Leeds RD Fl 1, Pomona, NJ 08240-9102 and can be reached out via phone at 609-748-7089 and via fax at 609-652-3460.

Provider Profile Details

NPI Number
1811273980
Provider Name
Lisa Marie Mangino-Blanchard
Credential
CRNP
Provider Entity Type
Individual
Gender
Female
Address
65 W Jimmie Leeds RD Fl 1, Pomona, NJ 08240-9102
Phone Number
609-748-7089
Fax Number
609-652-3460
Primary Taxonomy
Nurse Practitioner, Acute Care · 363LA2100X
Sole Proprietor
No
Provider Enumeration Date
November 2, 2011
Last Update Date
May 28, 2026
Certification Date
May 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
65 W Jimmie Leeds RD Fl 1
Pomona, NJ 08240-9102
City
Pomona
Zip
08240-9102
Phone Number
609-748-7089
Fax Number
609-652-3460
Pomona, NJ 08240Get directions →

Provider Business Mailing Address Details

Address
51 N 39TH St
Philadelphia, PA 19104-2640
City
Philadelphia
State
PA
Zip
19104-2640
Phone Number
215-662-9595

License Information

License Number (1)
SP007067
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Acute Care · 363LA2100X
License Number (2)
26NJ01034600
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Acute Care · 363LA2100X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Lisa M Mangino-Blanchard, CRNP?

The NPI number of Lisa M Mangino-Blanchard, CRNP is 1811273980. It was assigned on November 2, 2011 and is currently active in the NPPES registry.

What is the specialty of Lisa M Mangino-Blanchard, CRNP?

Lisa M Mangino-Blanchard, CRNP is registered under the primary taxonomy Nurse Practitioner, Acute Care (code 363LA2100X), licensed in PA under license number SP007067.

Where does Lisa M Mangino-Blanchard, CRNP practice?

The practice location is 65 W Jimmie Leeds RD Fl 1, Pomona, NJ 08240-9102. The office can be reached at 609-748-7089 (phone) or 609-652-3460 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1811273980 directly on the NPPES registry website.

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