# SALLY JANE MANION

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1225403777
- **Gender:** F
- **Credential:** CNM

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | RN00160925 | WA | — |
| 367A00000X | Advanced Practice Midwife | AP60591040 | WA | Yes |

## Other

- **Enumeration date:** 12/09/2015
- **Last updated:** 12/09/2015
