Doctor Name: | LAURA D MCMANUS |
NPI Number: | 1164499059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PNP |
License Number: | 300333 |
Business Practice Address: | 1420 Us Highway 52 N Suite A Albemarle, NC - 280012622 |
Business Phone Number: | 7049825437 |
Business Fax Number: | |
Mailing Address: | 1420 Us Highway 52 N, Suite A Albemarle Pediatrics ALBEMARLE |
State: | NC |
Postal Code: | 280012622 |
Phone Number: | 7049825437 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2006 |
NPI Last Update Date: | 03/21/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 300333 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |