Individual
MS. NANCY MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1502 LOCUST ST N STE 700, TWIN FALLS, ID 83301-4164
(208) 595-5095
Mailing address
1502 LOCUST ST N STE 700, TWIN FALLS, ID 83301-4164
(208) 595-5095
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
M-7029
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002601500
—
ID
Enumeration date
08/31/2005
Last updated
01/02/2020
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