Doctor Name: | CAROL MANNING |
NPI Number: | 1003825860 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 021541-23 |
Business Practice Address: | 22 Prospect St Nashua, NH - 030603924 |
Business Phone Number: | 6038831626 |
Business Fax Number: | 6038819914 |
Mailing Address: | 29 Middle Dunstable Rd, NASHUA |
State: | NH |
Postal Code: | 030622310 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 08/07/2006 |
NPI Last Update Date: | 11/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 021541-23 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |