Dr TERRA R MANGUM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2012.
VIRGINIA MASON MEDICAL CENTER
7315 212TH ST SW
SUITE 101
EDMONDS
WA
980267610
Tel: 4257759424
| Npi | 1366795908 |
| Pac Id | 4385882497 |
| Professional Enrollment Id | I20130531000427 |
| Last Name | MANGUM |
| First Name | TERRA |
| Middle Name | R |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | VIRGINIA MASON MEDICAL CENTER |
| Group Practice Pac Id | 9830002617 |
| Number Of Group Practice Members | 776 |
| Line 1 Street Address | 7315 212TH ST SW |
| Line 2 Street Address | SUITE 101 |
| Marker Of Address Line 2 Suppression | |
| City | EDMONDS |
| State | WA |
| Zip Code | 980267610 |
| Phone Number | 4257759424 |
| Hospital Affiliation Ccn 1 | 500005 |
| Hospital Affiliation Lbn 1 | VIRGINIA MASON MEDICAL CENTER |
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| Professional Accepts Medicare Assignment | Y |
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