Individual provider · Type 1 NPI
Mistie Sue Manning, NP-C
Family Nurse Practitioner · Bountiful, UT
NPI number
1164021721
Active
Practice location
1551 Renaissance Towne Dr Ste 370
Bountiful, UT 84010-7675
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 6926945-4405 (UT) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1164021721
Mistie Sue Manning, NP-C's National Provider Identifier is 1164021721, issued on Oct 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Bountiful, UT. The record was last updated on Oct 23, 2020.