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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
301 E Saint Joseph St, Green Bay, WI 54301 | 9206196499 |
Street Address |
301 E SAINT JOSEPH ST |
City | GREEN BAY |
State | WI |
Zip Code | 54301 |
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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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 |
Find all providers in zip 54301 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
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 |
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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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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.