Annalee Mangum, RN is a
Registered Nurse - General Practice based in Donnelly, Idaho. Annalee Mangum is licensed to practice in Idaho (license number 35135) and her current practice location is
257 Elaine Ln, Donnelly, Idaho. She can be reached at her office (for appointments etc.) via phone at
(208) 484-4565.
NPI number for Annalee Mangum is 1871303651 and her current mailing address is 257 Elaine Ln, Donnelly, Idaho. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871303651.
Provider's Profile
Full Name | Annalee Mangum |
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Gender | Female |
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Speciality | Registered Nurse - General Practice |
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Location | 257 Elaine Ln, Donnelly, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871303651
- Provider Enumeration Date: 01/13/2025
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Annalee Mangum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871303651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WG0000X | Registered Nurse - General Practice | 35135 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Annalee Mangum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Annalee Mangum, RN 257 Elaine Ln, Donnelly, ID 83615-5079 Ph: (208) 484-4565 | Annalee Mangum, RN 257 Elaine Ln, Donnelly, ID 83615-5079 Ph: (208) 484-4565 |
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