MISTIE SUE MANNING NP-C
NPI 1164021721
Nurse Practitioner - Family in Bountiful, UT

Q: What is Mistie Manning's NPI number?

The NPI number for Mistie Manning is 1164021721. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Q: What is Mistie Manning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Mistie Manning was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 23, 2020

1551 RENAISSANCE TOWNE DR STE 370, BOUNTIFUL, UT 84010(801) 747-7244 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mistie Sue Manning Np-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISTIE SUE MANNING NP-C (NPI 1164021721) is an individual family provider in Bountiful, Utah, licensed in Utah (6926945-4405) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1164021721

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMISTIE SUE MANNINGCredential: NP-C

Location Address1551 RENAISSANCE TOWNE DR STE 370Bountiful, UT 84010-7675

Mailing Address1551 Renaissance Towne Dr Ste 370Bountiful, UT 84010-7675 · (801) 747-7244

Phone(801) 747-7244

Sole ProprietorNo

Enumeration DateOctober 23, 2020

NPPES CertifiedOctober 23, 2020

✔ NPI 1164021721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in UT · 6926945-4405

1551 RENAISSANCE TOWNE DR STE 370, Bountiful, UT 84010

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELANIE MORRILL NELSON PA-C

Physician Assistant (Medical)

1551 RENAISSANCE TOWNE DR STE 370
BOUNTIFUL, UT 84010

Davis County (801) 965-3600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mistie Manning's NPI number?

The NPI number for Mistie Manning is 1164021721. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Where is Mistie Manning located?

Mistie Manning practices at 1551 Renaissance Towne Dr Ste 370, Bountiful, UT 84010. The listed phone number is (801) 747-7244.

What is Mistie Manning's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Mistie Manning was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.