Adeline T Mangwa, PMHNP-BC
Adeline T Mangwa, PMHNP-BC is a Nurse Practitioner in Columbia, Maryland. Qualified in 2021, 5 years ago. Practices with Shenandoah Psychiatric Medicine LLC, a 3-clinician group. Licensed in Maryland.
- Years since qualifying
- 5
- Licensed in
- MD
- In the registry since
- 2012
- Specialties on file
- 2
What do these letters mean?
- PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
- A board-certified psychiatric nurse practitioner.
Practice location Address checks out
10440 Little Patuxent Pkwy Ste 300Columbia, MD 21044-3648
Phone: (240) 203-4457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence R230111 (MD) |
|---|---|
| Home Health Aide | Taxonomy 374U00000X |
Record details
| NPI number | 1497015283 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PMHNP-BC |
| Sole proprietor | Yes |
| NPI enumerated | May 25, 2012 |
| Last updated in NPPES | April 3, 2024 |
| Certification date | April 3, 2024 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Shenandoah Psychiatric Medicine Llc — 3 clinicians |
| Accepts Medicare assignment | Not indicated |
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