Individual
MRS. KALI SUSAN MANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
107 12TH ST S, COOPERSTOWN, ND 58425-4501
(701) 786-1700
(701) 786-7122
Mailing address
107 12TH ST S, COOPERSTOWN, ND 58425-4501
(701) 786-1700
(701) 786-7122
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
8530
MN
363LG0600X
Gerontology Nurse Practitioner
Primary
R53173
ND
Other
Enumeration date
09/20/2021
Last updated
05/09/2026
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