Individual
MS. STACIE DIANE MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, FNP-BC
Contact information
Practice address
165 UNIVERSITY DR, AMHERST, MA 01002-8900
(413) 256-0421
Mailing address
165 UNIVERSITY DR, AMHERST, MA 01002-8900
(413) 256-0421
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2290626
MA
Other
Enumeration date
07/09/2014
Last updated
07/17/2020
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