IndividualActive
Annalee Mangum, RN
NPI 1871303651 · General Practice Registered Nurse · Donnelly, ID
Provider details
- NPI number
- 1871303651
- Entity type
- Individual
- Primary specialty
- General Practice Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 35135 (ID)
Specialties & taxonomies
Nursing Service Providers
Practice location
257 Elaine Ln
Donnelly, ID 83615-5079
Phone: (208) 484-4565
Approximate (ZIP-level) locationGet directions
Mailing address
257 Elaine Ln
Donnelly, ID 83615-5079
Registry dates
- Enumerated
- 2025-01-13
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.