MEDICARE: NTM CONSULTING PC

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	207XS0106X	Orthopaedic Hand Surgery Physician

General Provider Information

NPI Number	:	1912544628
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NTM CONSULTING PC

Provider Business Mailing Address
First Line	:	3500 CENTRAL AVE STE A
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68847-2963
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3500 CENTRAL AVE STE A
Second Line	:
City	:	KEARNEY
State	:	NE
Zip	:	68847-2963
Country	:	US
Telephone Number	:	308-237-2273
Fax Number	:	308-237-4515

Authorized Official
Title or Position	:	OWNER/DO
Name	:	DR. NICOLAS MANSUETTA
Credential	:	DO
Telephone Number	:	308-237-2273

Provider Enumeration Date	:	12/02/2019
Last Update Date	:	12/02/2019

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Directions to “NTM CONSULTING PC ” Practice Location

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