ELIZABETH MANGUM NP NPI 1649625807

NPI Information

NPI: 1649625807
Provider Name: ELIZABETH MANGUM, NP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1541 KINGS HWY
SHREVEPORT, LA
ZIP 71103
Phone: (318) 626-0000
Get Directions

Elizabeth Mangum, NP is a gerontology nurse practitioner in Shreveport, LA with 8 years of experience. Elizabeth Mangum, NP NPI is 1649625807. 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:

1541 KINGS HWY
SHREVEPORT, LA
ZIP 71103-228
Phone: (318) 626-0000
Fax: (318) 629-4833

The NPI 1649625807 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 4/25/2016 and was last updated on 2/27/2023.

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	AP08881	LOUISIANA	No
2	163W00000X	Registered Nurse		RN82332	LOUISIANA	No
3	363LG0600X	Nurse Practitioner	Gerontology	AP0881	LOUISIANA	Yes

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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