person
Faith A. Manty, APRN,CNP
Family Nurse Practitioner in Moose Lake, Minnesota
NPI 1124218102

Faith A. Manty is a Family Nurse Practitioner based in Moose Lake, MN and is specialized in Family. Faith A. Manty practices in Moose Lake, MN and has the professional credentials of APRN,CNP. The NPI Number for Faith A. Manty is 1124218102 and holds a License No. R 137363-9 (Minnesota).

The current practice location address for Faith A. Manty is 4572 County Road 61, Moose Lake, MN and can be reached out via phone at 218-485-4481 and via fax at 218-485-5866.

Location: 4572 County Road 61, Moose Lake, MN, 55767-9401
person
Provider Profile Details
NPI Number
1124218102
Provider Name
Faith A. Manty
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
4572 County Road 61, Moose Lake, MN, 55767-9401
Phone Number
218-485-4481
Fax Number
218-485-5866
Provider Enumeration Date
07/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
894967000 05 MN
institution
Provider Business Practice Location Address Details
Address
4572 County Road 61
City
State
Zip
55767-9401
Phone Number
218-485-4481
Fax Number
218-485-5866
person
Provider Business Mailing Address Details
Address
4572 County Road 61
City
State
Zip
55767-9401
Phone Number
218-485-4481
Fax Number
218-485-5866
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R 137363-9 (Minnesota)
Definition
Definition to come...
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