Individual provider · Type 1 NPI

Diane Mantos, RN, BSN, CCM

Case Management Registered Nurse · Fairfax, VA

NPI number 1811656911 Active

Practice location

12150 Monument Dr
Fairfax, VA 22033-4051

Call (757) 270-2452 Map

Fax (770) 723-8586

Mailing address

1391 NW 136th Ave
Sunrise, FL 33323-2800

Specialties and licenses

TaxonomyCodeLicense
Case Management Registered Nurse Primary 163WC0400X0001105385 (VA)

Case Management Registered Nurse: Definition to come...

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About NPI 1811656911

Diane Mantos, RN, BSN, CCM's National Provider Identifier is 1811656911, issued on Dec 16, 2021. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Fairfax, VA. The record was last updated on Dec 16, 2021.