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COLLEEN A. MANNERING

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM

Contact information

Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
Mailing address
147 MILK ST, BOSTON, MA 02109-4806
(617) 559-8051
(617) 421-3487

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0361071
MA
01
7006796-001
CIGNA
MA
01
CN0187
BCBS
MA
01
F355
HPHC
MA
Enumeration date
01/16/2007
Last updated
07/17/2007
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