MARY NEUSCH MANN GNP NPI 1164446035

NPI Information

NPI: 1164446035
Provider Name: MARY NEUSCH MANN, GNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
1108 LAVACA ST
SUITE 110-320
AUSTIN, TX
ZIP 78701
Phone: (512) 477-4088
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Mary Neusch Mann, GNP is a gerontology nurse practitioner in Austin, TX with 24 years of experience. Mary Neusch Mann, GNP NPI is 1164446035. 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:

1108 LAVACA ST
SUITE 110-320
AUSTIN, TX
ZIP 78701-172
Phone: (512) 477-4088
Fax: (512) 482-0390

The NPI 1164446035 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 2/20/2014.

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	363LG0600X	Nurse Practitioner	Gerontology	534263	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00230208	OTHER	TEXAS	MEDICARE RAILROAD
2	8C8831	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
3	P14438	MEDICARE UPIN
4	8N7511	OTHER	TEXAS	BCBS TEXAS
5	141124102	MEDICAID	TEXAS

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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