Manning, Mistie Sue
Manning, Mistie Sue is an individual health care provider with primary practice located at 1551 Renaissance Towne Dr Ste 370 , Bountiful UT 84010-7675. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manning, Mistie Sue can be contacted via phone (801) 747-7244.Contact Information
Primary practice address
1551 Renaissance Towne Dr Ste 370
Bountiful UT 84010-7675
Phone: (801) 747-7244
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6926945-4405 | Utah |
Profile Details
| NPI number | 1164021721 |
|---|---|
| LBN Legal business name | Manning, Mistie Sue |
| Credentials | NP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2020 |
| Last updated | Oct 23rd, 2020 - about 5 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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