Individual
SHELLY LYNN MANTHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2701 W SUPERIOR ST STE 101, DULUTH, MN 55806-1857
(218) 428-4753
(218) 733-0717
Mailing address
225 N 59TH AVE W, DULUTH, MN 55807-2412
(218) 733-0707
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1784024
MN
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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