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Individual
SHANICE MANN
Active
Individual
SHANICE MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP, RN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
708381
NY
363LF0000X
Family Nurse Practitioner
Primary
355002
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708381
—
NY
Enumeration date
02/25/2016
Last updated
08/23/2025
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