# MELANIE CHEREE MANTZ

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1700181443
- **Gender:** F
- **Credential:** CPNP-PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0200X | Pediatric Nurse Practitioner | 15597 | TN | Yes |
| 363LP0200X | Pediatric Nurse Practitioner | RN0000133509 | TN | — |

## Other

- **Enumeration date:** 01/11/2011
- **Last updated:** 08/29/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | Q027033 | — | TN |