MEDICARE: NINA MARIE MANN FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363L00000X	Nurse Practitioner	2221824405	UT

General Provider Information

NPI Number	:	1558468009
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NINA MARIE MANN FNP

Provider Business Mailing Address
First Line	:	100 NORTH MARIO CAPPECHI WAY
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84113
Country	:	US
Telephone Number	:	801-662-2840
Fax Number	:	801-662-2868

Provider Business Practice Location Address
First Line	:	100 NORTH MARIO CAPPECHI WAY
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84113-0000
Country	:	US
Telephone Number	:	801-662-2840
Fax Number	:	801-662-2868

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/19/2006
Last Update Date	:	02/18/2013

Similar Medicare Providers

1962455626 — DR. RONALD RAYMOND TRUDEL MD
Practice Location Address:

3465 MAGIC HILLS CIRCLE
SALT LAKE CITY, UT
84121-0000

Practice Phone: 801-891-9313
Practice Fax: 801-944-2472

1073767596 — RAPID ORTHOPEDIC CARE CLINIC LLC
Practice Location Address:

821 EAST 400 SOUTH
SALT LAKE CITY, UT
84102-0000

Practice Phone: 801-708-7999
Practice Fax: 801-708-7998

1629486675 — JANET P WEIDNER
Practice Location Address:

2000 CIRCLE OF HOPE DRIVE , HUNTSMAN CANCER INSTITUTE
SALT LAKE CITY, UT
84112-0000

Practice Phone: 860-966-5066
Practice Fax:

1790060663 — WENDY L MCGUIRE PTA
Practice Location Address:

1948 MESQUITE AVE , SUITE 101
LAKE HAVASU CITY, AZ
86403-0000

Practice Phone: 928-854-4776
Practice Fax: 928-854-4857

1780055590 — LISA STEKERT LCSW
Practice Location Address:

600 NORTH LAKE BLVD
TAHOE CITY, CA
96145-0000

Practice Phone: 530-412-1713
Practice Fax:

1447248166 — SHONDRA L. SMITH, MD
Practice Location Address:

3635 NELSON ROAD
LAKE CHARLES, LA
70605-0000

Practice Phone: 337-477-0011
Practice Fax: 337-477-0010

Directions to “ NINA MARIE MANN FNP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.