MS. ERIKA SUSANNE MANGIN


Address: 301 E Saint Joseph St, Green Bay, WI 54301
Phone: 9206196499

MS. ERIKA SUSANNE MANGIN (NPI# 1710357900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710357900
Entity Type Individual
Full Name MS. ERIKA SUSANNE MANGIN
Other Name ERIKA S MARSHALL
Credential RN, APN, PMHNP-BC
Practice Address 301 E Saint Joseph St
Green Bay
WI 54301
Mailing Address Po Box 22040
Green Bay
WI 54305-2040
Practice Telephone 9206196499
Mailing Telephone 9204457222
Mailing Fax Number 9204457289
Enumeration Date 2015-09-30
Last Update Date 2018-10-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 041.451974 IL Nursing Service Providers
N 163W00000X Registered Nurse 223907 WI Nursing Service Providers
N 163W00000X Registered Nurse 2303712 MA Nursing Service Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
8506-33 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
301 E Saint Joseph St, Green Bay, WI 54301 9206196499

Office Location

Street Address 301 E SAINT JOSEPH ST
City GREEN BAY
State WI
Zip Code 54301

Providers in the same location

NPI Name Taxonomy Address Enumeration
1790775450 Derek Carl Carlson Psychiatry & Neurology 301 E Saint Joseph St, Green Bay, WI 54301-2241 2005-10-25
1407486541 Gabrielle Cassandra Jochman Social Worker 301 E Saint Joseph St, Green Bay, WI 54301-2241 2020-01-16
1457996910 Jesse Frederick Peterson Psychologist 301 E Saint Joseph St, Green Bay, WI 54301-2241 2019-11-08
1528500626 Yasleny Rodriguez-castillo Nurse Practitioner 301 E Saint Joseph St, Green Bay, WI 54301 2016-11-07
1992156210 Kari Lynn Mahlik Nurse Practitioner 301 E Saint Joseph St, Green Bay, WI 54301-2241 2016-06-28
1972970572 Kim Marie Smith Counselor 301 E Saint Joseph St, Green Bay, WI 54301-2241 2015-08-31
1104200286 Meghan A Thompson Counselor 301 E Saint Joseph St, Green Bay, WI 54301-2241 2015-07-17
1720497118 Mary Jo Vanden Wymelenberg Counselor 301 E Saint Joseph St, Green Bay, WI 54301-2241 2014-08-11
1811308836 Ainsley E. Blum Counselor 301 E Saint Joseph St, Green Bay, WI 54301-2241 2014-05-13
1083039259 Carrie B Ison Counselor 301 E Saint Joseph St, Green Bay, WI 54301-2241 2014-02-25
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386102465 Parc Village Dental, LLC Dentist 2805 Libal Street, Suite A, Green Bay, WI 54301 2019-03-07
1598229478 Shaina Marie Conner Registered Nurse 835 S Vanburen St, Green Bay, WI 54301 2019-01-25
1093298960 Brown County Case Management 111 N. Jefferson Street, Green Bay, WI 54301 2018-09-07
1639609928 Frontline Healthcare LLC Specialist/Technologist, Other 2221 S. Webster Ave. Suite 270, Greenbay, WI 54301 2017-06-19
1992242606 Charmaine Rimple Counselor 526 South Monroe Avenue, Green Bay, WI 54301 2017-01-20
1962944819 Rebecca Lucille Reinbold Registered Nurse 917 Catherine Street, Green Bay, WI 54301 2016-11-09
1730635061 Melissa Kristof Specialist/Technologist, Other 1821 Sounth Webster Ave., Green Bay, WI 54301 2016-08-28
1255709747 Vivian Sweetheart Bishop-cook Counselor 2920 South Webster Ave, Green Bay, WI 54301 2015-09-14
1881079960 Chelsi S Weber Registered Nurse 2300 Riverside Dr., Ste 204, Green Bay, WI 54301 2015-07-30
1962816371 Joelle M Hesse Counselor 630 Cherry St., Green Bay, WI 54301 2014-06-13
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932256781 Elizabeth F. Mitchell Nurse Practitioner 444 Delwiche Rd, Green Bay, WI 54302-4804 2007-01-04
1528500626 Yasleny Rodriguez-castillo Nurse Practitioner 301 E Saint Joseph St, Green Bay, WI 54301 2016-11-07
1992156210 Kari Lynn Mahlik Nurse Practitioner 301 E Saint Joseph St, Green Bay, WI 54301-2241 2016-06-28
1053718890 Spectrum Behavioral Health LLC Nurse Practitioner 1496 Bellevue St, Suite 101, Green Bay, WI 54311-4205 2014-11-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003422726 Wisconsin Healthcare Family Practices and Behavioral Services LLC Nurse Practitioner 10721 W Capitol Dr Ste G103, Wauwatosa, WI 53222-1210 2020-09-17
1689292856 Julianne Margaret John Nurse Practitioner 3237 S 16th St Ste 310, Milwaukee, WI 53215-4526 2020-07-13
1356968002 Marisa Hiley Nurse Practitioner W129 N7055 Northfield Drive, Menomonee Falls, WI 53051 2020-06-29
1932726700 Lauren Marie Skemp Nurse Practitioner 1960 Hyview Rd, Cuba City, WI 53807-9718 2020-06-28
1235779240 Conscious Practice, LLC Nurse Practitioner 119 19th St N, La Crosse, WI 54601-3724 2020-01-08
1073152161 Stephanie L Ruskell Nurse Practitioner 3805 Spring St Ste 240, Mount Pleasant, WI 53405-1667 2020-01-06
1558924811 Sarah Kathryn Garven Nurse Practitioner 5000 West National Ave Rm 3119, Milwaukee, WI 53295-1000 2019-04-22
1104394535 Therese Ann Alm Nurse Practitioner 383 Williamstowne Ste 101, Delafield, WI 53018-2332 2018-11-03
1477079242 Aeron Rachel Adams Nurse Practitioner W10237 Lake Emily Rd, Fox Lake, WI 53933 2017-08-14
1396140398 Monica Gorski Nurse Practitioner 505 King St Ste 218, La Crosse, WI 54601-4289 2014-11-03
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Competitor

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City GREEN BAY
Zip Code 54301

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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