Individual
ANGEL RENEE MANTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Mailing address
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434-8038
(757) 934-4821
(757) 934-4276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024175623
VA
363LA2200X
Adult Health Nurse Practitioner
0024175623
VA
363LG0600X
Gerontology Nurse Practitioner
0024175623
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024175623
VA
Other
Enumeration date
11/15/2017
Last updated
12/20/2021
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