Mann, Mary Neusch

Mann, Mary Neusch is an individual health care provider with primary practice located at 1108 Lavaca St Suite 110-320, Austin TX 78701-2172. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Mann, Mary Neusch can be contacted via phone (512) 477-4088.

Contact Information

Primary practice address
1108 Lavaca St Suite 110-320 Austin TX 78701-2172
Phone: (512) 477-4088
Fax: (512) 482-0390
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 534263 Texas

Profile Details

NPI number 1164446035
LBN Legal business name Mann, Mary Neusch
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Feb 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164446035 NPPES
Texas Other 8N7511 BCBS TEXAS
Texas Other P00230208 BCBS TEXAS
Texas MEDICAID 141124102 BCBS TEXAS

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