KELLY ANDREA MANZ NPI 1043858400

NPI Information

NPI: 1043858400
Provider Name: KELLY ANDREA MANZ
Classification: Registered Nurse - 163WP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
1592 MONROE ST
NORTH BEND, OR
ZIP 97459
Phone: (541) 756-2048
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Kelly Andrea Manz is a psychiatric/mental health registered nurse in North Bend, OR. Kelly Andrea Manz NPI is 1043858400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1592 MONROE ST
NORTH BEND, OR
ZIP 97459-657
Phone: (541) 756-2048
Fax: (541) 756-2058

The enumeration date for this NPI number is 12/17/2019 and was last updated on 12/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	163WP0808X	Registered Nurse	Psychiatric/Mental Health	201901765RN	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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