Manty, Faith A.

Manty, Faith A. is an individual health care provider with primary practice located at 4572 County Road 61 , Moose Lake MN 55767-9401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Manty, Faith A. can be contacted via phone (218) 485-4481.

Contact Information

Primary practice address
4572 County Road 61 Moose Lake MN 55767-9401
Phone: (218) 485-4481
Fax: (218) 485-5866
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R 137363-9 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 722 Minnesota

Profile Details

NPI number 1124218102
LBN Legal business name Manty, Faith A.
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Mar 26th, 2020 - about 4 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 1124218102 NPPES
Minnesota MEDICAID 894967000

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