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Individual

MATTHEW MERRILL MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
1715 GRAND AVE, GRAND JUNCTION, CO 81501-4519
(760) 885-5335
Mailing address
1715 GRAND AVE, GRAND JUNCTION, CO 81501-4519
(760) 885-5335

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1648060
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APN.1000442-NP
CO

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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