Mary Manelli, APRN, CNP
Nurse Practitioner, Gerontology in Coon Rapids, MN. Individual provider (NPI-1).
NPI number1295237154
StatusActive
Last updated in NPPESOct 15, 2026
Details
- NPI
- 1295237154
- Entity type
- Individual (NPI-1)
- Name
- Mary Manelli
- Credential
- APRN, CNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2018
- Certification date
- Oct 15, 2026
- Last updated
- Oct 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 5707 | MN | Yes |
| 363L00000X | Nurse Practitioner | CNP5707 | MN |
Other names
- Mary Barton (Former Name)
Practice location
9145 Springbrook Dr Nw Ste 200Coon Rapids, MN 55433-5886
Phone 612-871-1145 · Fax 612-870-5491
Mailing address
Po Box 14909Minneapolis, MN 55414-0909
Phone 612-871-1145 · Fax 612-870-5491
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