MISTIE SUE MANNING

BOUNTIFUL, UT
NPI1164021721
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: UT  6926945-4405)
Enumeration Date2020-10-23
Last Update Date2020-10-23
Business Address
MISTIE SUE MANNING NP-C
1551 RENAISSANCE TOWNE DR STE 370
BOUNTIFUL, UT 84010-7675
Phone number: 801-747-7244
Mailing Address
MISTIE SUE MANNING NP-C
1551 RENAISSANCE TOWNE DR STE 370
BOUNTIFUL, UT 84010-7675
Phone number: 801-747-7244