Individual
AMY ELIZABETH MANAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5165 MCCARTY LN, LAFAYETTE, IN 47905-8764
(765) 448-8000
Mailing address
511 TWIN LAKES AVE, MONTICELLO, IN 47960-2414
(574) 850-6911
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
28123635A
IN
Other
Enumeration date
10/04/2020
Last updated
10/04/2020
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