NPI Profile for MELISSA J MANG in SOUTHERN PINES, NC.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Registered Nurse |
163W00000X |
| NPI Number | 1871584136 |
|
| Status | Active | |
| Credentials | A.P.R.N., BC | |
| Entity | Individual | |
| Enumeration date | 11/04/2005 | |
| Last updated | 03/15/2011 - About 15 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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MELISSA J MANG
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