Kathleen Mary Manseau, A.R.N.P.

Individual provider Active NPI Family Nurse Practitioner · Twisp, WA

NPI 1679722342 · NPPES record last updated Sep 18, 2015

Key facts

NPI
1679722342
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
AP60045855 (WA)
Practice address
541 W. Second Avenue
Twisp, WA 98856
Phone
(509) 422-5700
Fax
(509) 422-7680
NPI assigned
Sep 17, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph Lehigh Jensen III Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP60045855 WA Yes

Addresses

Primary practice location

541 W. Second Avenue
Twisp, WA 98856

Mailing address

PO Box 1340
Okanogan, WA 98840-1340
Phone (509) 422-5700

Other providers in Twisp, WA

All providers in Twisp, WA · Family Nurse Practitioner in Washington

Sources for this page

Verify at the official NPI Registry.