Doctor Name: | DAVID L. MANUS |
NPI Number: | 1033442314 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | 6192P |
Business Practice Address: | 525 Marsailles Dr Versailles, KY - 403831911 |
Business Phone Number: | 8592971072 |
Business Fax Number: | 8592971073 |
Mailing Address: | 8 Cadillac Dr, Ste. 250 BRENTWOOD |
State: | TN |
Postal Code: | 370275087 |
Phone Number: | 6154254225 |
Fax Number: | 6154254271 |
NPI Enumeration Date: | 09/17/2009 |
NPI Last Update Date: | 09/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 6192P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |