National Provider Identifier
Heather Jo Mangan, LPN
Heather Jo Mangan, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 353-3391.
Profile Overview
- NPI
- 1619322187
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 03, 2016
- Last Updated
- May 03, 2016
Practice Location
- 463 Manse Ln
- Rochester, NY 14625-1177
Phone: (585) 353-3391
Specialties
- Licensed Practical Nurse (164W00000X)
Full Record
- NPI
- 1619322187
- Entity Type
- Individual
- Last Name
- Mangan
- First Name
- Heather
- Middle Name
- Jo
- Name Prefix
- Mrs.
- Credential
- LPN
- Mailing Street Address
- 463 Manse Ln
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14625-1177
- Mailing Country
- US
- Mailing Phone
- (585) 353-3391
- Practice Street Address
- 463 Manse Ln
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14625-1177
- Practice Country
- US
- Practice Phone
- (585) 353-3391
- Enumeration Date
- May 03, 2016
- Last Updated
- May 03, 2016
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)