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PATTY-JO KATHERINE MANTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DNP

Contact information

Practice address
2680 SNELLING AVE N STE 200, ROSEVILLE, MN 55113-1879
(651) 364-9381
(651) 364-9382
Mailing address
10416 MORRIS CIR, BLOOMINGTON, MN 55437-2801
(952) 857-9165

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4923
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
4923
MN

Other

Enumeration date
10/02/2017
Last updated
02/27/2024
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