1. Home
  2. Directory
  3. Georgia
  4. Perry
  5. Nurse Practitioner
  6. NPI Profile

ALPHENA VENECIE DYER-MANTACK MSN, APRN, FNP-C
NPI 1346186582
Nurse Practitioner - Family in Perry, GA

Active since April 28, 2026
305 TYNDALL WAY, PERRY, GA 31069(478) 919-1042 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alphena Venecie Dyer-mantack Msn, Aprn, Fnp-c NPPES

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

ALPHENA VENECIE DYER-MANTACK MSN, APRN, FNP-C (NPI 1346186582) is an individual family provider in Perry, Georgia, licensed in Georgia (APRN-NP285710) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1346186582
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameALPHENA VENECIE DYER-MANTACKCredential: MSN, APRN, FNP-C
Location Address305 TYNDALL WAYPerry, GA 31069-9819
Mailing Address305 Tyndall WayPerry, GA 31069-9819 · (478) 919-1042
Phone(478) 919-1042
Sole ProprietorYes
Enumeration DateApril 28, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1346186582 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 GA · APRN-NP285710
305 TYNDALL WAY, Perry, GA 31069
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Alphena Dyer-mantack's NPI number?

The NPI number for Alphena Dyer-mantack is 1346186582. It was assigned to this individual provider in the NPPES registry on April 28, 2026.

Where is Alphena Dyer-mantack located?

Alphena Dyer-mantack practices at 305 Tyndall Way, Perry, GA 31069. The listed phone number is (478) 919-1042.

What is Alphena Dyer-mantack'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 Alphena Dyer-mantack was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.