Individual
NINA MARIE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
100 NORTH MARIO CAPPECHI WAY, SALT LAKE CITY, UT 84113-0000
(801) 662-2840
(801) 662-2868
Mailing address
100 NORTH MARIO CAPPECHI WAY, SALT LAKE CITY, UT 84113
(801) 662-2840
(801) 662-2868
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2221824405
UT
Other
Enumeration date
09/19/2006
Last updated
02/18/2013
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