Individual
MRS. MICHELLE MARGARET MANTERNACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1632 SYCAMORE ST, IOWA CITY, IA 52240
(319) 384-8822
(319) 467-1002
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 384-8822
(319) 467-1002
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
A132237
IA
363LF0000X
Family Nurse Practitioner
Primary
A132237
IA
Other
Enumeration date
09/09/2018
Last updated
10/08/2019
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