Mindi Lyn Mancuello in Norfolk - Medical
Mindi Lyn Mancuello - NPI 1659313336
Mindi Lyn Mancuello is a Medical in Norfolk, Virginia. Mindi Lyn Mancuello practices all healthcare services and medical treatments related to Medical. The NPI Number for Mindi Lyn Mancuello is 1659313336. The last update date is 2019-02-18.
Mindi Lyn Mancuello's current location address is 811 Redgate Ave, Norfolk, Virginia. You can contact this provider via phone number 7576687874 and fax number 7576688658. The mailing address for Mindi Lyn Mancuello is 811 Redgate Ave, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindi Lyn Mancuello |
|---|---|
| Address | 811 Redgate Ave, Norfolk, Virginia |
| Phone Number | 7576687874 |
| Fax Number | 7576688658 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1659313336 |
|---|---|
| Provider Enumeration Date | 2006-06-10 |
| Last Updated Date | 2019-02-18 |
Provider Mailing Address Detail
| Address | 811 Redgate Ave |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235071515 |
| Phone Number | 7576687874 |
| Fax Number | 7576688658 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 1618 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 182517415A | GA | -- | |
| 2929279-00 | FL | -- |
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What is the Mindi Lyn Mancuello's 1659313336?
The Mindi Lyn Mancuello's NPI (National Provider Identifier) Number is 1659313336. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Mindi Lyn Mancuello is located?
The Mindi Lyn Mancuello is situated at the following address: 811 Redgate Ave, Norfolk, VA, 235071515.
What is Mindi Lyn Mancuello's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mindi Lyn Mancuello's specialized field of practice is Medical, and the corresponding taxonomy code that categorizes this area of specialization is 363Am0700X.
On what date was the 1659313336 assigned to Mindi Lyn Mancuello?
The Mindi Lyn Mancuello was issued its 1659313336 on 2006-06-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Mindi Lyn Mancuello's information last updated?
The Mindi Lyn Mancuello's information was last updated on 2019-02-18.
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