Faith A. Manty in Moose Lake - Family

Faith A. Manty - NPI 1124218102

Faith A. Manty is a Family in Moose Lake, Minnesota. Faith A. Manty practices all healthcare services and medical treatments related to Family. The NPI Number for Faith A. Manty is 1124218102. The last update date is 2020-03-26.

Faith A. Manty's current location address is 4572 County Road 61, Moose Lake, Minnesota. You can contact this provider via phone number 2184854481 and fax number 2184855866. The mailing address for Faith A. Manty is 4572 County Road 61, Moose Lake, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Faith A. Manty
Address 4572 County Road 61, Moose Lake, Minnesota
Phone Number 2184854481
Fax Number 2184855866
Sole Proprietor N
Credentials APRN, CNP

NPI Number Detail

NPI Number 1124218102
Provider Enumeration Date 2007-07-26
Last Updated Date 2020-03-26

Provider Mailing Address Detail

Address 4572 County Road 61
City Moose Lake
State Minnesota (MN)
Post Code 557679401
Phone Number 2184854481
Fax Number 2184855866

Provider's Primary Taxonomy Detail

Speciality Family
Taxonomy 363Lf0000X
Licence No R 137363-9
Definition:
An advanced practice registered nurse expert in primary healthcare for patients of all ages.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
894967000 MN --

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FAQs about Faith A. Manty

What is the unique identification code assigned to Faith A. Manty by the Centers for Medicare & Medicaid Services?

The Faith A. Manty has been issued the NPI (National Provider Identifier) 1124218102. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Faith A. Manty's facilities are situated?

The facilities of Faith A. Manty are physically located at the following address: 4572 County Road 61, Moose Lake, MN, 557679401.

What is Faith A. Manty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Faith A. Manty is Family, and the taxonomy classification code that categorizes this area of expertise is 363Lf0000X.

On what date was the 1124218102 assigned to Faith A. Manty?

The Faith A. Manty was issued its 1124218102 on 2007-07-26, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Faith A. Manty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Faith A. Manty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-03-26.

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