| NPI | 1073979084 |
|---|---|
| Other Name | CONSTANCE J MANGIAMELE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN R1494411) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R149441-1) |
| 363L00000X Nurse Practitioner (Licence: MN R1494411) | |
| Enumeration Date | 2016-01-06 |
| Last Update Date | 2020-01-10 |