Individual
JULIE ANN MANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RN, CNS, BC-ADM,
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1013
(219) 836-7983
Mailing address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 703-1013
(219) 836-7983
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
7000113A
IN
Other
Enumeration date
07/18/2017
Last updated
03/27/2024
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