MARTHA CORINNA MANGUM ACNP-BC NPI 1619317336

NPI Information

NPI: 1619317336
Provider Name: MARTHA CORINNA MANGUM, ACNP-BC
Classification: Nurse Practitioner - 363LA2100X
Entity Type: Individual

Specialization: Acute Care

Organization: UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER

PECOS Registration: Yes

Address:
5959 HARRY HINES BLVD
POB 1, 10TH FLOOR, SUITE HP10.110
DALLAS, TX
ZIP 75390
Phone: (214) 645-7700
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Martha Corinna Mangum, ACNP-BC is an acute care nurse practitioner in Dallas, TX with 11 years of experience. Martha Corinna Mangum, ACNP-BC NPI is 1619317336. 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:

5959 HARRY HINES BLVD
POB 1, 10TH FLOOR, SUITE HP10.110
DALLAS, TX
ZIP 75390-879
Phone: (214) 645-7700

The NPI 1619317336 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 6/26/2013 and was last updated on 1/9/2017.

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	363LA2100X	Nurse Practitioner	Acute Care	AP131259	TEXAS	Yes
2	363LA2100X	Nurse Practitioner	Acute Care	4704258437	MICHIGAN	No

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: 11/14/2023

NPI Synchronization or Removal

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