IndividualActive
William Mangan
NPI 1093494262 · Student in an Organized Health Care Education/Training Program · Salt Lake City, UT
Provider details
- NPI number
- 1093494262
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
27 S Mario Capecchi Dr
Salt Lake City, UT 84112-5888
Phone: (208) 821-1502
Approximate (ZIP-level) locationGet directions
Mailing address
3750 Hampshire Ct
Idaho Falls, ID 83404-7973
Additional practice locations (1)
- 3750 Hampshire CtIdaho Falls, ID 83404-7973Phone: (208) 821-1502
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.