| Doctor Name: | MARY ELIZABETH MANNING |
| NPI Number: | 1649491432 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3004121 |
| Business Practice Address: | 209 North Maysville Street Suite 200 Mt. Sterling, KY - 40353 |
| Business Phone Number: | 8594047686 |
| Business Fax Number: | 8592740785 |
| Mailing Address: | 209 North Maysville Street, Suite 200 MT. STERLING |
| State: | KY |
| Postal Code: | 40353 |
| Phone Number: | 8594047686 |
| Fax Number: | 8592740785 |
| NPI Enumeration Date: | 05/01/2007 |
| NPI Last Update Date: | 01/15/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 3004121 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |