Individual
MELANIE CHEREE MANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
490 DUNLOP LN, CLARKSVILLE, TN 37040
(931) 245-8400
(931) 245-8465
Mailing address
PO BOX 3799, CLARKSVILLE, TN 37043-3799
(931) 245-7092
(931) 245-7069
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
15597
TN
363LP0200X
Pediatric Nurse Practitioner
RN0000133509
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q027033
—
TN
Enumeration date
01/11/2011
Last updated
08/29/2022
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