Individual
MRS. ERLENE ANN MANNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
500 WHITESBORO ST, UTICA, NY 13502-3015
(315) 724-5168
(315) 724-6582
Mailing address
500 WHITESBORO ST, UTICA, NY 13502-3015
(315) 724-5168
(315) 724-6582
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
404685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
404685
LICENSE
NY
Enumeration date
01/17/2023
Last updated
01/17/2023
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