Mangwa, Adeline T

Mangwa, Adeline T is an sole proprietor health care provider with primary practice located at 10440 Little Patuxent Pkwy Ste 300 , Columbia MD 21044-3648. She recently has 2 registered licenses in different health care specialties including Nursing Service Related Providers / Home Health Aide, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mangwa, Adeline T can be contacted via phone (240) 203-4457.

Contact Information

Primary practice address
10440 Little Patuxent Pkwy Ste 300 Columbia MD 21044-3648
Phone: (240) 203-4457
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R230111 Maryland

Profile Details

NPI number 1497015283
LBN Legal business name Mangwa, Adeline T
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2012
Last updated Apr 3rd, 2024 - about 2 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 1497015283 NPPES
Maryland MEDICAID 1497015283

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