Marie Theresa Mann, APRN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

RN9590065 Issued in FL

Practice address

7630 NW 35TH PL
Gainesville, FL 32606-5679

Phone

(203) 848-8697

NPI assigned

Nov 15, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1033984489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 NW 43RD ST STE 102-245",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326064484",
            "telephone_number": "203-848-8697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 NW 35TH PL",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326065679",
            "telephone_number": "203-848-8697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "MARIE",
        "middle_name": "THERESA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "RN9590065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Mangum, AP
• Martha Leigh Mangus, ARNP
• Chilliqua Shonta Manigault, LCSW
• Dana E Mann, RN
• Holly Mann, PHARM.D.
• Melody Mann
• Nicholas Mann, D.M.D.
• Robert Maxwell Mann, CCA
• Stefan Samuel Mann, MD
• Teresa S Mann, PHARMD, RPH

• Gerontology Nurse Practitioner in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.