Individual
BECKY R MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, PMHNP-BC
Contact information
Practice address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Mailing address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
(608) 723-4417
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4056-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4056-33
WI
Other
Enumeration date
06/02/2010
Last updated
07/10/2013
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