RUTH ROBERTA MANGINO N.P. NPI 1194961664

NPI Information

NPI: 1194961664
Provider Name: RUTH ROBERTA MANGINO, N.P.
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
7330 N 99TH AVE STE 325
GLENDALE, AZ
ZIP 85307
Phone: (623) 209-1474
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Ruth Roberta Mangino, N.P. is an adult health nurse practitioner in Glendale, AZ. Ruth Roberta Mangino, N.P. NPI is 1194961664. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

7330 N 99TH AVE STE 325
GLENDALE, AZ
ZIP 85307-022
Phone: (623) 209-1474
Fax: (623) 209-1475

The NPI 1194961664 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/5/2009 and was last updated on 6/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	RN087831	ARIZONA	No
2	363LA2200X	Nurse Practitioner	Adult Health	AP3232	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	403458	MEDICAID	ARIZONA
2	Z204343	OTHER		MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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