Mangrum, Misty Brooke

Mangrum, Misty Brooke is an individual health care provider with primary practice located at 1910 Rector Rd , Paragould AR 72450-2004. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Mangrum, Misty Brooke can be contacted via phone (870) 240-8500.

Contact Information

Primary practice address
1910 Rector Rd Paragould AR 72450-2004
Phone: (870) 240-8500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X

Profile Details

NPI number 1033317243
LBN Legal business name Mangrum, Misty Brooke
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2007
Last updated Jul 10th, 2007 - about 19 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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