Julia Mangan, Fnp, Family Practice Clinic P.C
LBN: Julia Mangan, Fnp, Family Practice Clinic P.C
Julia Mangan, Fnp, Family Practice Clinic P.C is an health care organization with primary practice located at 1112 W Ironwood Dr , Coeur D Alene ID 83814-2474. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Julia Mangan, Fnp, Family Practice Clinic P.C can be contacted via phone (208) 664-8818, or through Mangan, Julia B via phone (208) 664-8818.
Contact Information
Primary practice address
1112 W Ironwood Dr
Coeur D Alene ID 83814-2474
Phone: (208) 664-8818
Fax: (208) 664-4427
Website:
Authorized official contact:
Name: Mangan, Julia B Family Nurse Practitioner (FNP)
Phone: (208) 664-8818
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | NP334A | Idaho |
Profile Details
| NPI number | 1699787168 |
|---|---|
| LBN Legal business name | Julia Mangan, Fnp, Family Practice Clinic P.C |
| DBA Doing business as | |
| Authorized official | Mangan, Julia B Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 13th, 2006 |
| Last updated | May 28th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699787168 | NPPES |
| Idaho | MEDICAID | 805117600 |
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