Sukdai Mangru, CNM
Advanced Practice Midwife in Punta Gorda, FL. Individual provider (NPI-1).
NPI number1720174352
StatusActive
Last updated in NPPESMar 22, 2016
Details
- NPI
- 1720174352
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Sukdai Mangru
- Credential
- CNM
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 4, 2006
- Last updated
- Mar 22, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367A00000X | Advanced Practice Midwife | F000890 | NY | Yes |
| 367A00000X | Advanced Practice Midwife | ARNP2098022 | FL |
Practice location
6210 Scott StUnit 216
Punta Gorda, FL 33950-3901
Phone 941-205-2666 · Fax 941-205-2665
Mailing address
6210 Scott StUnit 216
Punta Gorda, FL 33950-3901
Phone 941-205-2666 · Fax 941-205-2665
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