Individual
STACIE LEIGH MCMANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
807 SOUTHWESTERN RUN, YOUNGSTOWN, OH 44514-3688
(330) 729-0059
Mailing address
12921 SPRINGFIELD RD LOT 49N, NEW SPRINGFLD, OH 44443-8705
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0033574
OH
363LA2200X
Adult Health Nurse Practitioner
APRN.CNP.0033574
OH
363LG0600X
Gerontology Nurse Practitioner
APRN.CNP.0033574
OH
363LP2300X
Primary Care Nurse Practitioner
APRN.CNP.0033574
OH
Other
Enumeration date
04/14/2023
Last updated
04/14/2023
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