Individual
HEATHER MANTSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 SILVER LAKE RD NW STE 100, NEW BRIGHTON, MN 55112-1786
(218) 370-9979
Mailing address
1900 SILVER LAKE RD NW STE 100, NEW BRIGHTON, MN 55112-1786
(218) 370-9979
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7655
MN
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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