IndividualActive
Candace Mangum, CRNP
NPI 1407924384 · Primary Care Nurse Practitioner · Notasulga, AL
Provider details
- NPI number
- 1407924384
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CRNP
- Sex
- Female
- Sole proprietor
- No
- License
- 1-090975 (AL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
56 West Main Street
Notasulga, AL 36866-0100
Phone: (334) 257-1081
Fax: (334) 257-1086
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 100
Notasulga, AL 36866-0100
Registry dates
- Enumerated
- 2006-12-01
- Last updated
- 2009-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.