Doctor Name: | DANIELLE R MANESS |
NPI Number: | 1962884833 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | WHNP, CNM |
License Number: | 80656 |
Business Practice Address: | 97 Great Teays Blvd Suite 6 Scott Depot, WV - 255609815 |
Business Phone Number: | 3047576999 |
Business Fax Number: | 3042015019 |
Mailing Address: | 97 Great Teays Blvd, Suite 6 SCOTT DEPOT |
State: | WV |
Postal Code: | 255609815 |
Phone Number: | 3047576999 |
Fax Number: | 3042015019 |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 10/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WX0003X |
License Number: | 80656 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Obstetric, Inpatient |
Taxonomy Definition: |