Provider Demographics
NPI:1164918330
Name:MCMANN, ADAM (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:ADAM
Middle Name:
Last Name:MCMANN
Suffix:
Gender:M
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2709 W BRIGGS AVE
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:IA
Mailing Address - Zip Code:52556-2649
Mailing Address - Country:US
Mailing Address - Phone:641-209-4326
Mailing Address - Fax:641-209-4329
Practice Address - Street 1:2709 W BRIGGS AVE STE 1
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:IA
Practice Address - Zip Code:52556-2649
Practice Address - Country:US
Practice Address - Phone:641-209-4326
Practice Address - Fax:641-209-4329
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2022-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA128233363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily