Blayne Manning
Nurse Practitioner, Adult Health in Great Neck, NY. Individual provider (NPI-1).
NPI number1013461276
StatusActive
Last updated in NPPESAug 5, 2016
Details
- NPI
- 1013461276
- Entity type
- Individual (NPI-1)
- Name
- Blayne Manning
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 5, 2016
- Last updated
- Aug 5, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2200X | Nurse Practitioner, Adult Health | 307828 | NY | Yes |
Practice location
225 Community Dr#110
Great Neck, NY 11021-5503
Phone 516-918-4388
Mailing address
225 Community Dr#110
Great Neck, NY 11021-5503
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