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Amanda Mannon

Registered Nurse in Charleston, WV. Individual provider (NPI-1).

NPI number1104769801
StatusActive
Last updated in NPPESApr 9, 2026

Details

NPI
1104769801
Entity type
Individual (NPI-1)
Name
Amanda Mannon
Sex
Female
Sole proprietor
No
Enumeration date
Apr 9, 2026
Certification date
Apr 9, 2026
Last updated
Apr 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse488306OHYes

Practice location

3200 Maccorkle Ave Se
Charleston, WV 25304-1227

Phone 304-388-5432

Mailing address

10 Township Road 1144
Proctorville, OH 45669-8554

Phone 304-416-3253

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