Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angel Renee Mantay, AGACNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1194238972

Angel Renee Mantay, AGACNP-BC is an Adult Health Nurse Practitioner in Suffolk, Virginia. Works from 3 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2017
Specialties on file
4

Practice location Address checks out

2800 Godwin Blvd Fl 1
Suffolk, VA 23434-8038
Phone: (757) 934-4821
Fax: (757) 934-4276
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2790 Godwin Blvd Ste 205, Suffolk, VA 23434-8154 — (757) 942-2566
  • 1020 First Colonial Rd Ste A, Virginia Beach, VA 23454 — (757) 395-1850

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 0024175623 (VA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 0024175623 (VA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0024175623 (VA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 0024175623 (VA)

Record details

NPI number1194238972
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedNovember 15, 2017
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

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