Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Mariam Mangu Nantang, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1003635087

Mrs. Mariam Mangu Nantang, PMHNP is a Nurse Practitioner in Greensboro, North Carolina. Qualified in 2024, 2 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

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Practice location Address checks out

717 Green Valley Rd Ste 200
Greensboro, NC 27408-2156
Phone: (743) 222-9755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1140 Kildaire Farm Rd Rm 12, Cary, NC 27511-4562 — (743) 222-9755

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 245103 (NC)

Record details

NPI number1003635087
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP
Sole proprietorYes
NPI enumeratedOctober 7, 2024
Last updated in NPPESJanuary 17, 2025
Certification dateJanuary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

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