Individual
ALLISON NICOLE MANCZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 SOUTHERN BLVD STE 101, KETTERING, OH 45429-1265
(937) 281-3810
(937) 281-3812
Mailing address
271 GLENBURN DR, CENTERVILLE, OH 45459-2116
(937) 694-7393
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
APRN.CNP.0029115
OH
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.0029115
OH
Other
Enumeration date
06/25/2021
Last updated
03/31/2025
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