ANGEL RENEE MANTAY


Address: 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454
Phone: 7573951850

ANGEL RENEE MANTAY (NPI# 1194238972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194238972
Entity Type Individual
Full Name ANGEL RENEE MANTAY
Credential AGACNP-BC
Practice Address 1020 First Colonial Rd Ste A
Virginia Beach
VA 23454
Mailing Address 1020 First Colonial Rd Ste A
Virginia Beach
VA 23454-3002
Practice Telephone 7573951850
Mailing Telephone 7573951850
Enumeration Date 2017-11-15
Last Update Date 2019-03-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
0024175623 VA Physician Assistants & Advanced Practice Nursing Providers
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
0024175623 VA Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2790 Godwin Blvd Ste 205, Suffolk, VA 234348154 7579422566

Office Location

Street Address 1020 FIRST COLONIAL RD STE A
City VIRGINIA BEACH
State VA
Zip Code 23454

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124317391 Charmaine G Silva-gata Psychiatry & Neurology 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3002 2011-03-28
1407272859 Sentara Medical Group Psychologist 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3002 2014-03-10
1568899268 Ellen N Nogueira Nurse Practitioner 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454-3002 2013-09-26
1427315126 Noah B Matilsky Psychiatry & Neurology 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454 2012-04-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356994263 Agape Consulting Behavioral Analyst 1216 Garth Court, Virginia Beach, VA 23454 2019-07-19
1831650266 Amelia Jo Crutsinger Physician Assistant 1644 Kepler Bnd, Virginia Beach, VA 23454 2019-03-28
1538639158 Bay Psychiatric II Inc Counselor 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 2018-11-26
1487151759 Akanksha Mohan Student in an Organized Health Care Education/Training Program 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 2018-04-12
1275038580 Food Lion, LLC Durable Medical Equipment & Medical Supplies 1615 General Booth Blvd, Virginia Beach, VA 23454 2018-03-28
1346783164 Tracy Chasse Occupational Therapy Assistant 1628 Old Donation Parkway, Virginia Beach, VA 23454 2016-11-28
1982066627 Jennifer Mitchell Speech-Language Pathologist 2101 Agecroft Rd., Virginia Beach, VA 23454 2016-03-22
1659730562 Rebecca Houvener Psychologist 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 2016-02-19
1932581741 Monica Jane Bailey Nurse Practitioner 2110 N Great Neck Rd, Virginia Beach, VA 23454 2015-06-29
1376930073 Ashley A Burkholder Family Medicine 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 2015-04-20
Find all providers in zip 23454

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154966265 Resmi Thomas Nurse Practitioner 1296 Ferry Point Rd, Virginia Beach, VA 23464-5234 2019-11-12
1275074908 Courtney Williams Nurse Practitioner 1300 Diamond Springs Rd Ste 503, Virginia Beach, VA 23455-3645 2017-03-14
1831492263 Ryan Gorman Nurse Practitioner 4445 Corporation Ln Ste 264, Virginia Beach, VA 23462-3262 2010-12-07
1063405686 Jennifer Field Brown Nurse Practitioner 1072 Laskin Rd, Suite 104, Virginia Beach, VA 23451-6364 2005-08-30
1396344693 Edward James Evard Nurse Practitioner 260 Grayson Rd, Virginia Beach, VA 23462-4345 2020-10-19
1235746611 Jamie Kate Diamond Nurse Practitioner 409 Birdneck Cir, Virginia Beach, VA 23451-5516 2020-09-29
1275158792 Sayward Mccullough Nurse Practitioner 4460 Corporation Ln, Virginia Beach, VA 23462-3150 2020-06-10
1023655974 Laura Lamonica Nurse Practitioner 4445 Corporation Ln, Virginia Beach, VA 23462-3262 2019-12-10
1184110991 Wendy Anne Calender-howlett Nurse Practitioner 1300 Diamond Springs Rd Ste 503, Virginia Beach, VA 23455-3645 2018-07-04
1184112476 Ronika Alice Robinson Nurse Practitioner 770 Lynnhaven Pkwy, Virginia Beach, VA 23452-7324 2018-04-23
Find all providers in VIRGINIA BEACH

Competitor

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City VIRGINIA BEACH
Zip Code 23454

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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