Mangelsdorf, Shahida
Mangelsdorf, Shahida is an sole proprietor health care provider with primary practice located at 500 W Thomas Rd Ste 500 , Phoenix AZ 85013-4220. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Mangelsdorf, Shahida can be contacted via phone (602) 406-4000.Contact Information
Primary practice address
500 W Thomas Rd Ste 500
Phoenix AZ 85013-4220
Phone: (602) 406-4000
Fax: (602) 406-6498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | AP7695 | Arizona |
Profile Details
| NPI number | 1760868707 |
|---|---|
| LBN Legal business name | Mangelsdorf, Shahida |
| Credentials | AGACNP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 31st, 2015 |
| Last updated | May 9th, 2023 - about 3 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 | 1760868707 | NPPES |
| Arizona | MEDICAID | 056526 |
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