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MANGA TELIDEVARA, NP

NP

Family Nurse Practitioner

NPI: 1497474373IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse PractitionerPrimary

Nurse Practitioner — Family

Code: 363LF0000X

1090732(TX)
Nurse Practitioner

Nurse Practitioner

Code: 363L00000X

1090732(TX)

CMS Specialties

Education

OTHER

Class of 2022

Contact & Hours

Address
615 WORSHAM ST
MONTGOMERY, TX 77316

Quick Facts

NPI
1497474373
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
4

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