Individual
VESNA MANJIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
201 STATE ST, ERIE, PA 16550-0002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN685398
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
685398
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN685398
PA RN LICENSE
PA
Enumeration date
07/14/2021
Last updated
05/25/2022
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