Karen C Mangum (NPI# 1194264077, PAC ID# 0648528109) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL.
| Nation Provider ID (NPI) | 1194264077 |
| PAC ID by PECOS | 0648528109 |
| Professional Enrollment ID | I20180731003945 |
| Full Name | Karen C Mangum |
| Organization Legal Name | IDAHO NUTRITION ASSOCIATES LLC |
| Address |
13960 W Wainwright Dr Suite 101 Boise ID 83713-1969 |
| Phone Number | 2084339424 |
| Gender | F |
| Graduation Year | 1980 |
| Primary Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| Group Practice PAC ID | 8123399367 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 13960 W Wainwright Dr, Suite 101, Boise, ID 83713-1969 | 2084339424 | IDAHO NUTRITION ASSOCIATES LLC |
| Organization Legal Name | IDAHO NUTRITION ASSOCIATES LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Christine Buker | Registered Dietitian Or Nutrition Professional | Idaho Nutrition Associates LLC | 13960 W Wainwright Dr, Suite 101, Boise, ID 83713-1969 |
| Brenda L Bourn | Registered Dietitian Or Nutrition Professional | Idaho Nutrition Associates LLC | 13960 W Wainwright Dr, Suite 101, Boise, ID 83713-1969 |
| Street Address |
13960 W WAINWRIGHT DR SUITE 101 |
| City | BOISE |
| State | ID |
| Zip | 83713-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Christine Buker | Registered Dietitian Or Nutrition Professional | Idaho Nutrition Associates LLC | 13960 W Wainwright Dr, Suite 101, Boise, ID 83713-1969 |
| Brenda L Bourn | Registered Dietitian Or Nutrition Professional | Idaho Nutrition Associates LLC | 13960 W Wainwright Dr, Suite 101, Boise, ID 83713-1969 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kory L Kreusel | Chiropractic | 5418 N Eagle Rd, Suite 120, Boise, ID 83713-0103 | |
| Nicole Anna Thomas | Optometry | Mcneel Eye Center, Inc. | 4270 N Eagle Rd, Boise, ID 83713-0726 |
| Brian J Mcneel | Optometry | Mcneel Eye Center, Inc. | 4270 N Eagle Rd, Boise, ID 83713-0726 |
| Matthew J Ogle | Chiropractic | 13999 W Wainwright Dr, Suite 201, Boise, ID 83713-0727 | |
| Scott D Fletcher | Chiropractic | 5246 N Eagle Rd, Boise, ID 83713-0945 | |
| Joseph Blampied | Chiropractic | Fletcher Chiropractic Pllc | 5246 N Eagle Rd, Boise, ID 83713-0945 |
| Jillaine D Stmichel | Chiropractic | Fletcher Chiropractic Pllc | 5246 N Eagle Rd, Boise, ID 83713-0945 |
| Keri Erland | Internal Medicine | 6023 N Eagle Rd, Boise, ID 83713-0997 | |
| Mariya R Ostermiller | Physician Assistant | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Dustin Ray Portela | Dermatology | Treasure Valley Dermatology and Skin Cancer Center, Pllc | 6051 N Eagle Rd, Boise, ID 83713-0997 |
| Find all physicians in zip 83713 | |||
| City | BOISE |
| Zip Code | 83713 |
| Specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
| City + Specialty | BOISE + REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
Please comment or provide details below to improve the information on Karen C Mangum.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.