Individual
RACHEL MANTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
745 WATERSEDGE DR, INDEPENDENCE, KY 41051-8315
(859) 991-4744
Mailing address
745 WATERSEDGE DR, INDEPENDENCE, KY 41051-8315
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4018349
KY
Other
Enumeration date
04/08/2024
Last updated
04/08/2024
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