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Sidney Shane Mangelsdorf, AG-ACNP
Gerontology Nurse Practitioner in Phoenix, Arizona
NPI 1871950980

Sidney Shane Mangelsdorf is a Gerontology Nurse Practitioner based in Phoenix, AZ and is specialized in Gerontology. Sidney Shane Mangelsdorf practices in Phoenix, AZ and has the professional credentials of AG-ACNP. The NPI Number for Sidney Shane Mangelsdorf is 1871950980 and holds a License No. AP8394 (Arizona).

The current practice location address for Sidney Shane Mangelsdorf is 500 W Thomas Rd Ste 400, Phoenix, AZ and can be reached out via phone at 602-406-3874 and via fax at 602-406-2335.

Location: 500 W Thomas Rd Ste 400, Phoenix, AZ, 85067-3269
person
Provider Profile Details
NPI Number
1871950980
Provider Name
Sidney Shane Mangelsdorf
Credential
AG-ACNP
Provider Entity Type
Individual
Gender
Male
Address
500 W Thomas Rd Ste 400, Phoenix, AZ, 85067-3269
Phone Number
602-406-3874
Fax Number
602-406-2335
Provider Enumeration Date
01/20/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
500 W Thomas Rd Ste 400
City
State
Zip
85013
Phone Number
602-406-3874
Fax Number
602-406-2335
person
Provider Business Mailing Address Details
Address
500 W Thomas Rd Ste 400
City
State
Zip
85013
Phone Number
602-406-3874
Fax Number
602-406-2335
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
License No.
AP8394 (Arizona)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
AP8394 (Arizona)
Definition
Definition to come...
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