NPI 1487607495 · live from the CMS NPI Registry
Ingrid Abols-Mantyh, M.D.
Psychiatry & Neurology, Neurology in Burnsville, MN. National Provider Identifier 1487607495, active.
NPI record
| NPI | 1487607495 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 675 E Nicollet Blvd, Suite 100, Burnsville, MN 55337 |
| Practice phone | 952-435-8516 |
| Mailing address | 501 E Nicollet Blvd, Ste 100, Burnsville, MN 55337 |
| Enumerated | May 19, 2006 |
| Last updated | March 4, 2019 |
| Sole proprietor | No |
| Other names | Ingrid Abols |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 29023 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.