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MARY C MANGAN MSN CRNP NPI 1962648683


NPI Information

NPI: 1962648683
Provider Name: MARY C MANGAN, MSN, CRNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: LENAPE VALLEY FOUNDATION

PECOS Registration: Yes

Address:
1500 SPRING GARDEN ST
PHILADELPHIA, PA
ZIP 19130
Phone: (877) 813-5595
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Mary C Mangan, MSN, CRNP is an adult health nurse practitioner in Philadelphia, PA with 17 years of experience. Mary C Mangan, MSN, CRNP NPI is 1962648683. 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:

1500 SPRING GARDEN ST
PHILADELPHIA, PA
ZIP 19130-067
Phone: (877) 813-5595

The NPI 1962648683 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychiatric diagnostic evaluation with medical services (HCPCS:90792)
  • Group psychotherapy (HCPCS:90853)

The enumeration date for this NPI number is 12/30/2008 and was last updated on 12/30/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LA2200XNurse PractitionerAdult HealthSP00926PENNSYLVANIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.