Individual provider · Type 1 NPI

Manthan Kimmane-Rathnakar, NP

Nurse Practitioner · St. Joseph, MI

NPI number 1669109682 Active

Practice location

3950 Hollywood Rd Ste 110
St. Joseph, MI 49085-9151

Fax (269) 983-3181

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X4704316983 (MI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1669109682

Manthan Kimmane-Rathnakar, NP's National Provider Identifier is 1669109682, issued on Aug 2, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in St. Joseph, MI. The record was last updated on Aug 2, 2022.