Mangru, Sukdai

Mangru, Sukdai is an individual health care provider with primary practice located at 6210 Scott St Unit 216, Punta Gorda FL 33950-3901. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mangru, Sukdai can be contacted via phone (941) 205-2666.

Contact Information

Primary practice address
6210 Scott St Unit 216 Punta Gorda FL 33950-3901
Phone: (941) 205-2666
Fax: (941) 205-2665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X F000890 New York
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X ARNP2098022 Florida

Profile Details

NPI number 1720174352
LBN Legal business name Mangru, Sukdai
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 22nd, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720174352 NPPES
New York MEDICAID 00246075

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