Courtney B Manatt in Brinkley - Nurse Practitioner
Courtney B Manatt - NPI 1760562078
Courtney B Manatt is a Nurse Practitioner in Brinkley, Arkansas. Courtney B Manatt practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Courtney B Manatt is 1760562078. The last update date is 2011-11-03.
Courtney B Manatt's current location address is 615 N Main St, Brinkley, Arkansas. You can contact this provider via phone number 8707341150 and fax number 8703473492. The mailing address for Courtney B Manatt is 615 N Main St, Brinkley, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Courtney B Manatt |
|---|---|
| Address | 615 N Main St, Brinkley, Arkansas |
| Phone Number | 8707341150 |
| Fax Number | 8703473492 |
| Sole Proprietor | N |
| Credentials | APN |
NPI Number Detail
| NPI Number | 1760562078 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2011-11-03 |
Provider Mailing Address Detail
| Address | 615 N Main St |
|---|---|
| City | Brinkley |
| State | Arkansas (AR) |
| Post Code | 720212507 |
| Phone Number | 8707341150 |
| Fax Number | 8703473492 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | A01569 ANP |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 175922758 | AR | -- |
Post Comment/ Review Below
What is the Courtney B Manatt's 1760562078?
The Courtney B Manatt's NPI (National Provider Identifier) Number is 1760562078. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Courtney B Manatt is physically located?
The Courtney B Manatt is physically situated at the following address: 615 N Main St, Brinkley, AR, 720212507.
What is Courtney B Manatt's specialized field of practice, and what is the corresponding taxonomy classification code?
The Courtney B Manatt's area of specialization is Nurse Practitioner, and the corresponding taxonomy code that categorizes this field of practice is 363L00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1760562078 to Courtney B Manatt?
The Courtney B Manatt received its 1760562078 assignment from the Centers for Medicare & Medicaid Services on 2006-10-17.
As of what date were the details related to Courtney B Manatt most recently updated or revised?
The information pertaining to Courtney B Manatt, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-03.
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