COURTNEY MANGAN

FORT WAYNE, IN
NPI1417514480
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  28160425A)
Enumeration Date2019-05-24
Last Update Date2019-05-24
Business Address
COURTNEY MANGAN NP
7601 W JEFFERSON BLVD
FORT WAYNE, IN 46804-4133
Phone number: 260-436-8686
Mailing Address
COURTNEY MANGAN NP
PO BOX 2526
FORT WAYNE, IN 46801-2526
Phone number: 260-436-8686