Individual
CHRISTINA ANNETTE MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C,N,M.
Contact information
Practice address
1805 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3301
(270) 781-3415
(270) 781-2091
Mailing address
1805 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-3301
(270) 781-3415
(270) 781-2091
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
AP06339
LA
367A00000X
Advanced Practice Midwife
APN16861
TN
367A00000X
Advanced Practice Midwife
Primary
CNM0287
KY
367A00000X
Advanced Practice Midwife
RN103468
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K048220
MEDICARE GROUP PTAN
KY
01
—
K130140
MEDICARE PTAN INDIVIDUAL
KY
Enumeration date
02/01/2011
Last updated
05/28/2015
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