Organization · Type 2 NPI
Mind & Body Renew
Family Nurse Practitioner · Manitowoc, WI
NPI number
1316889264
Active
Practice location
2006 Rankin St
Manitowoc, WI 54220-2642
Mailing address
PO Box 1
Manitowoc, WI 54221-0001
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
About NPI 1316889264
Mind & Body Renew's National Provider Identifier is 1316889264, issued on Apr 8, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Manitowoc, WI. The record was last updated on Aug 6, 2026.