IndividualActive
Jan Mason-Manzer, PA-C
NPI 1083783054 · Physician Assistant · Newcastle, WY
Provider details
- NPI number
- 1083783054
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 201 (WY)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1121 Washington Ave
Newcastle, WY 82701
Phone: (307) 746-3582
Approximate (ZIP-level) locationGet directions
Mailing address
353 Fairmont Blvd
Rapid City, SD 57701-7350
Registry dates
- Enumerated
- 2006-11-06
- Last updated
- 2013-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.