Zachary D Mangum, ARNP Valid NPI

Individual provider · Psychiatric/Mental Health Nurse Practitioner · Port Townsend, WA

NPI

1053929414

Type

Individual (Type 1)

Primary specialty

Psychiatric/Mental Health Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LP0808X

License number

AP61160443 (WA)

Sex

Male

Sole proprietor

Yes

Enumerated

2020-07-21

Last updated

2021-04-01