Kristi Mcclellan Mantay in Virginia Beach - Physician Assistant
Kristi Mcclellan Mantay - NPI 1760672596
Kristi Mcclellan Mantay is a Physician Assistant in Virginia Beach, Virginia. Kristi Mcclellan Mantay practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kristi Mcclellan Mantay is 1760672596. The last update date is 2007-07-27.
Kristi Mcclellan Mantay's current location address is 1380 Tuscany Dr, Virginia Beach, Virginia. You can contact this provider via phone number 7573019200 and fax number 7573019214. The mailing address for Kristi Mcclellan Mantay is 1380 Tuscany Dr, Virginia Beach, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kristi Mcclellan Mantay |
|---|---|
| Address | 1380 Tuscany Dr, Virginia Beach, Virginia |
| Phone Number | 7573019200 |
| Fax Number | 7573019214 |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1760672596 |
|---|---|
| Provider Enumeration Date | 2007-07-27 |
| Last Updated Date | 2007-07-27 |
Provider Mailing Address Detail
| Address | 1380 Tuscany Dr |
|---|---|
| City | Virginia Beach |
| State | Virginia (VA) |
| Post Code | 234567751 |
| Phone Number | 7573019200 |
| Fax Number | 7573019214 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 110002575 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique identifier code issued to Kristi Mcclellan Mantay by the Centers for Medicare & Medicaid Services?
The Kristi Mcclellan Mantay has been assigned the NPI (National Provider Identifier) 1760672596. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Kristi Mcclellan Mantay's physical address?
The Kristi Mcclellan Mantay is physically located at 1380 Tuscany Dr, in the city of Virginia Beach, VA, with the postal code 234567751.
What is Kristi Mcclellan Mantay's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kristi Mcclellan Mantay's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
When was the Kristi Mcclellan Mantay's 1760672596 issued?
The Kristi Mcclellan Mantay's 1760672596 was issued on 2007-07-27.
As of what date were the details related to Kristi Mcclellan Mantay most recently updated or revised?
The information pertaining to Kristi Mcclellan Mantay, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-27.
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