Female

Mrs. Michelle L. Manthe P.A.C.

Medical Physician Assistant in Springdale, AR(View on Map)

Full Name

Mrs. Michelle Lee Manthe P.A.C.

NPI Number

1194990366

NPI Type

Individual Provider

Gender

Female

Enumeration Date

04/28/2008

Specialties

(Taxonomies)

Code

363AM0700X

Primary Taxonomy

Yes

Licenses

State

Arkansas

License Number

PA 401

Contact
Information

Purpose

Mailing
Location

Address

1615 W PERSIMMON ST STE B
5320 W SUNSET AVE STE 157

City

Rogers
Springdale

State

AR
AR

Postal Code

72756-3383
72762-4410

Country

US
US

Telephone Number

(479) 636-7192
(479) 966-7331

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

michelle.manthe.8@2229.direct.athenahealth.com

Endpoint Description

AMR Direct Address

Use

Unknown

Content Type

Unknown

Affiliation

N

Endpoint Location

1615 W Persimmon St Ste BRogers, AR727563383US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/06/2024

Provider Address

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