Mangan, Robin Judith
Mangan, Robin Judith is an sole proprietor health care provider with primary practice located at 551 Highland Dr , Arco ID 83213-5003. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Mangan, Robin Judith can be contacted via phone (208) 252-7655.Contact Information
Primary practice address
551 Highland Dr
Arco ID 83213-5003
Phone: (208) 252-7655
Fax: (208) 527-3430
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 13232 | Idaho |
Profile Details
| NPI number | 1649934423 |
|---|---|
| LBN Legal business name | Mangan, Robin Judith |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 27th, 2021 |
| Last updated | Oct 27th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649934423 | NPPES |
| Idaho | Other | 13232 | IDAHO STATE BOARD OF NURSING |
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