Healthcare Provider Details

I. General information

NPI: 1124959523
Provider Name (Legal Business Name): CYDNIE JO MANN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/26/2026
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3421 W 9TH ST
WATERLOO IA
50702-5401
US

IV. Provider business mailing address

300 STATE ST UNIT 303
CEDAR FALLS IA
50613-3342
US

V. Phone/Fax

Practice location:
  • Phone: 319-272-2229
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0003X
TaxonomyInpatient Obstetric Registered Nurse
License Number16090
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: