Provider Demographics
NPI:1821571852
Name:MANWARING, NATALIE ANN
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:MANWARING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:ANN
Other - Last Name:SEIVERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:518 E 500 N APT 1
Mailing Address - Street 2:
Mailing Address - City:LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84321-4693
Mailing Address - Country:US
Mailing Address - Phone:262-455-2105
Mailing Address - Fax:
Practice Address - Street 1:9508 63RD ST
Practice Address - Street 2:
Practice Address - City:KENOSHA
Practice Address - State:WI
Practice Address - Zip Code:53142-8180
Practice Address - Country:US
Practice Address - Phone:262-455-2105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care